Individual provider · Type 1 NPI

Jesl Xena Rae Lizardo Cruz

Specialist · Forest Hills, NY

NPI number 1750773735 Active

Practice location

11045 Queens Blvd Apt 215
Forest Hills, NY 11375-5519

Call (708) 212-3748 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X749308131 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1750773735

Jesl Xena Rae Lizardo Cruz's National Provider Identifier is 1750773735, issued on Feb 26, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Feb 26, 2015.