MEDICARE: ELENA M DELA CRUZ PE N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP2201X	Ambulatory Care Registered Nurse	F301372-1	NY

General Provider Information

NPI Number	:	1447415765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA M DELA CRUZ PE N.P.

Provider Business Mailing Address
First Line	:	ONE GUSTAVE LEVY PLACE #1054
Second Line	:	MOUNT SINAI MEDICAL CENTER
City	:	NEW YORK
State	:	NY
Zip	:	10029-6574
Country	:	US
Telephone Number	:	212-241-7272
Fax Number	:	212-534-2776

Provider Business Practice Location Address
First Line	:	ONE GUSTAVE LEVY PLACE #1054
Second Line	:	MOUNT SINAI MEDICAL CENTER
City	:	NEW YORK
State	:	NY
Zip	:	10029-6574
Country	:	US
Telephone Number	:	212-241-7272
Fax Number	:	212-534-2776

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	07/25/2008

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