Jennifer Cruz

NPI #1215822911 in Corona, New York

Provider Information

NPI Number: 1215822911
Entity Type: Individual
Name: Jennifer Cruz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 11, 2025
Last Updated: Jun 11, 2025

Practice Location

Address: 5930 108TH ST APT 4PP
City: Corona
State: New York
ZIP Code: 11368-4552
Phone: (718) 564-5502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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