Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | NJ | |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 238117 | NY |
NPI | 1083650808 |
---|---|
Provider Name | Florencia Santos Cruz |
First Address | New York, NY 10087-7842 |
Second Address | Flushing, NY 11355-5045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2006 |
Last Update Date | 02/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004596 | (05) | NJ |
02704227 | (05) | NY |