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Contact Information

LAURA M DE LA CRUZ
132 SANDALWOOD DR
STATEN ISLAND, NY10308
 Phone: 718-966-9314
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LAURA M DE LA CRUZ · (Female)

NPI Number 1255777009
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2013
Last updated 05/29/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 538956111
  • Other 1255777009 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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