MRS. MALGORZATA LIS-CRUZ

Address: 493 Beach 20 Street, Far Rockaway, NY 11691
Phone: 7183276400

MRS. MALGORZATA LIS-CRUZ (NPI# 1821038381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821038381
Entity Type 1 - Individual
Full Name MRS. MALGORZATA LIS-CRUZ
Credential PT
Practice Address 493 Beach 20 Street
Far Rockaway
NY 11691
Mailing Address 16 Cornwell St
Rockville Centre
NY 11570-1903
Practice Telephone 7183276400
Practice Fax Number 7183272218
Mailing Telephone 5164314051
Enumeration Date 06/06/2006
Last Update Date 03/11/2013
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 013294 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 493 BEACH 20 STREET
City FAR ROCKAWAY
State NY
Zip Code 11691

Providers with the same location

NPI Name Address
1396793113 ALEXANDER VAYSMAN 493 Beach 20 Street, Far Rockaway, NY 11691

Competitor

Search similar physicians

City FAR ROCKAWAY
Zip Code 11691

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.