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1023516622
JOSE ELIAS DE LA CRUZ FERNANDEZ
BRONX, NY
NPI
1023516622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F01181122)
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
JOSE ELIAS DE LA CRUZ FERNANDEZ NP
2270 UNIVERSITY AVE SUITE 1A
BRONX, NY 10468-6265
Phone number: 646-393-9079
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Mailing Address
JOSE ELIAS DE LA CRUZ FERNANDEZ NP
2270 UNIVERSITY AVE SUITE 1A
BRONX, NY 10468-6265
Phone number: 646-393-9079
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