Dr. Lisanne Catherine Cruz
Sports Medicine
994 W Jericho Tpke Ste 104
Smithtown
, New York 11787-3211
Dr. Lisanne Catherine Cruz
Sports Medicine
994 W Jericho Tpke Ste 104
Smithtown
, New York 11787-3211
(631) 543-1440
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Lisanne Catherine Cruz
- 994 W Jericho Tpke Ste 104
- Smithtown, NY
- Zip : 11787-3211
- Phone : (631) 543-1440
Second Address
- Dr. Lisanne Catherine Cruz
- 994 W Jericho Tpke Ste 104
- Smithtown, NY
- Zip : 11787-3211
- Phone : (631) 543-1440
Reviews
FAQs
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Is Dr. Lisanne Catherine Cruz a sole practitioner?
Is Dr. Lisanne Catherine Cruz accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 289053 | NY |
| Y | 213ES0000X | Sports Medicine | 289053 | NY |
National Provider Identifier
| NPI | 1487095444 |
|---|---|
| Provider Name | Dr. Lisanne Catherine Cruz |
| First Address | Smithtown, NY 11787-3211 |
| Second Address | Smithtown, NY 11787-3211 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2013 |
| Last Update Date | 29/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.