Individual
YANNI EBORAS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 W MAIN ST STE 106, FREEHOLD, NJ 07728-2537
(732) 308-4202
(732) 308-4212
Mailing address
PO BOX 416457, BOSTON, MA 02241-6911
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA060289
PA
363A00000X
Physician Assistant
OA004670
PA
363AS0400X
Surgical Physician Assistant
Primary
25MP00498800
NJ
Other
Enumeration date
10/22/2018
Last updated
05/17/2024
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