Bloodworth-Cruz, Ida
Bloodworth-Cruz, Ida is an sole proprietor health care provider with primary practice located at 24 Fairlawn Avenue , Dobbs Ferry NY 10522. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bloodworth-Cruz, Ida can be contacted via phone (212) 665-3993.Contact Information
Primary practice address
24 Fairlawn Avenue
Dobbs Ferry NY 10522
Phone: (212) 665-3993
Fax: (800) 778-4468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R038188-1 | New York |
Profile Details
| NPI number | 1679668099 |
|---|---|
| LBN Legal business name | Bloodworth-Cruz, Ida |
| Credentials | PH.D., LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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