Cruz, Stephanie Marie

Cruz, Stephanie Marie is an sole proprietor health care provider with primary practice located at 216 Arlington Ave , Syracuse NY 13207-1604. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cruz, Stephanie Marie can be contacted via phone (315) 476-8285.

Contact Information

Primary practice address
216 Arlington Ave Syracuse NY 13207-1604
Phone: (315) 476-8285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 271857-1 New York

Profile Details

NPI number 1417163270
LBN Legal business name Cruz, Stephanie Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417163270 NPPES
New York MEDICAID 02578196

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