Healthcare Provider Details

I. General information

NPI: 1134721293
Provider Name (Legal Business Name): TANIA CRUZ ATR-BC, LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date: 10/30/2024
Reactivation Date: 08/14/2026

III. Provider practice location address

90 N BROADWAY
IRVINGTON NY
10533-3200
US

IV. Provider business mailing address

591 WARBURTON AVE UNIT 25
HASTINGS ON HUDSON NY
10706-7502
US

V. Phone/Fax

Practice location:
  • Phone: 914-615-1597
  • Fax:
Mailing address:
  • Phone: 914-893-5456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: