Most Relevant Information
Provider Data
| NPI Number: | 1003460130 |
| Provider Name: | DENISE CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2019 |
| Last Updated: | 12/27/2019 |
Provider Practice Location
465 W 167TH ST
NEW YORK
NY
100324351
Practice Location Phone/Fax
| Phone: | 6466832872 |
| Fax: |
Provider Mailing Location
465 W 167TH ST
NEW YORK
NY
100324351
Provider Mailing Phone/Fax
| Phone: | 6466832872 |
| Fax: |