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1043044746
NICOLAS DE LA CRUZ
BRONX, NY
NPI
1043044746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NY 009963)
Enumeration Date
2024-08-27
Last Update Date
2024-10-23
Business Address
NICOLAS DE LA CRUZ MS, RDN, CDN
199 MOUNT EDEN PKWY
BRONX, NY 10457-7703
Phone number: 718-992-7669
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Mailing Address
NICOLAS DE LA CRUZ MS, RDN, CDN
1276 FULTON AVE
BRONX, NY 10456-3467
Phone number: 718-992-7669
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