Elizabeth Cruz, M.S. ED.
Individual provider Active NPI Specialist · Shirley, NY
NPI 1992069447 · NPPES record last updated Jun 29, 2012
Key facts
- NPI
- 1992069447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 293 Smith Rd
Shirley, NY 11967-2224 - Phone
- (631) 772-7059
- NPI assigned
- Jun 29, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Yes |
Addresses
Primary practice location
293 Smith Rd
Shirley, NY 11967-2224
Mailing address
293 Smith Rd
Shirley, NY 11967-2224
Phone (631) 772-7059
Other providers in Shirley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.