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Dr. Lisanne Catherine Cruz

Sports Medicine

994 W Jericho Tpke Ste 104
Smithtown , New York 11787-3211

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Image

Dr. Lisanne Catherine Cruz

Sports Medicine

994 W Jericho Tpke Ste 104
Smithtown , New York 11787-3211

(631) 543-1440

Write a Review Save Call

Dr. Lisanne Catherine Cruz

Sports Medicine

994 W Jericho Tpke Ste 104
Smithtown , New York 11787-3211

(631) 543-1440 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

994 W Jericho Tpke Ste 104 Smithtown , New York 11787-3211

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

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FAQs


Where did Dr. Lisanne Catherine Cruz attend graduate school?

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Where did Dr. Lisanne Catherine Cruz do her residency?

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Where did Dr. Lisanne Catherine Cruz do her fellowship?

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Is Dr. Lisanne Catherine Cruz board certified?

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What type of doctor is Dr. Lisanne Catherine Cruz

Sports Medicine

In what state does Dr. Lisanne Catherine Cruz practice in?

New York

Where is Dr. Lisanne Catherine Cruz ’s practice located?

994 W Jericho Tpke Ste 104 , Smithtown, New York, 11787-3211

What is Dr. Lisanne Catherine Cruz ’s gender?

Female

Is Dr. Lisanne Catherine Cruz a sole practitioner?

No

Is Dr. Lisanne Catherine Cruz accepting new patients?

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What languages does Dr. Lisanne Catherine Cruz speak?

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Does Dr. Lisanne Catherine Cruz accept insurance?

Yes, Dr. Lisanne Catherine Cruz accepts insurance

Does Dr. Lisanne Catherine Cruz offers telemedicine?

Dr. Lisanne Catherine Cruz has not indicated if she offers telemedicine

What is Dr. Lisanne Catherine Cruz ’s professional license number?

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What is Dr. Lisanne Catherine Cruz ’s NPI number?

1487095444

Does Dr. Lisanne Catherine Cruz have any license restrictions?

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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)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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