Individual
HENRY CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3711 35TH AVE, SUITE 3C, ASTORIA, NY 11101-1524
(718) 706-7500
(718) 706-9595
Mailing address
255 EXECUTIVE DR, 105LL, PLAINVIEW, NY 11803-1718
(718) 706-7500
(718) 706-9595
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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