MEDICARE: SURIJDEI AMANDA DECRUIZ MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1932742723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SURIJDEI AMANDA DECRUIZ MD

Provider Business Mailing Address
First Line	:	12306 97TH AVE
Second Line	:
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-1402
Country	:	US
Telephone Number	:	347-314-6501
Fax Number	:

Provider Business Practice Location Address
First Line	:	12306 97TH AVE
Second Line	:
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-1402
Country	:	US
Telephone Number	:	347-314-6501
Fax Number	:

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

Provider Enumeration Date	:	10/24/2019
Last Update Date	:	10/24/2019

Similar Medicare Providers

1154556652 — MRS. MIRIAM ARIELA HUSARSKY MA, CCC-SLP
Practice Location Address:

8411 117TH ST
RICHMOND HILL, NY
11418-1402

Practice Phone: 718-969-5450
Practice Fax:

1396211827 — RYAN BORINAGA COTA
Practice Location Address:

1402 KERN CANYON LN
RICHMOND, TX
77469-2270

Practice Phone: 832-427-7363
Practice Fax:

1952918724 — ANNA VARGHESE MA, NCC
Practice Location Address:

1402 SILVERTON PL
RICHMOND HEIGHTS, MO
63117-2216

Practice Phone: 618-973-4863
Practice Fax:

1053991588 — DR. KRISHNABEN PATEL PT
Practice Location Address:

2620A GASKINS RD
RICHMOND, VA
23238-1402

Practice Phone: 804-396-6753
Practice Fax:

1255911780 — MS. VIDHI AMIN
Practice Location Address:

2620 GASKINS RD
RICHMOND, VA
23238-1402

Practice Phone: 732-666-8269
Practice Fax:

1306525506 — ALEXANDRIA EDEN DAVIES PHD, LCP
Practice Location Address:

1402 BAINBRIDGE ST UNIT B
RICHMOND, VA
23224-2138

Practice Phone: 704-576-9399
Practice Fax:

Directions to “ SURIJDEI AMANDA DECRUIZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.