Most Relevant Information
Provider Data
| NPI Number: | 1003249251 |
| Provider Name: | BERTA ARACELY CRUZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 642355 |
Most Important Dates
| Enumeration Date: | 08/12/2013 |
| Last Updated: | 08/12/2013 |
Provider Practice Location
41 RADBURN DR
FARMINGVILLE
NY
117381045
Practice Location Phone/Fax
| Phone: | 6319605772 |
| Fax: |
Provider Mailing Location
41 RADBURN DR
FARMINGVILLE
NY
117381045
Provider Mailing Phone/Fax
| Phone: | 6319605772 |
| Fax: |