Healthcare Provider Details

I. General information

NPI: 1477326882
Provider Name (Legal Business Name): NATALIE CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2023
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 BARNES AVE
BRONX NY
10467-9101
US

IV. Provider business mailing address

2515 BARNES AVE
BRONX NY
10467-9101
US

V. Phone/Fax

Practice location:
  • Phone: 347-928-4750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP125444
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: