Decruiz, Surijdei Amanda

Decruiz, Surijdei Amanda is an individual health care provider with primary practice located at 12306 97Th Ave , South Richmond Hill NY 11419-1402. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Decruiz, Surijdei Amanda can be contacted via phone (347) 314-6501.

Contact Information

Primary practice address
12306 97Th Ave South Richmond Hill NY 11419-1402
Phone: (347) 314-6501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1932742723
LBN Legal business name Decruiz, Surijdei Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2019
Last updated Oct 24th, 2019 - about 6 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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