Provider Demographics
NPI:1093578460
Name:CRUZ, ERIKA (DOULA)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:CRUZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2383 2ND AVE APT 2302
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2353
Mailing Address - Country:US
Mailing Address - Phone:347-771-0503
Mailing Address - Fax:
Practice Address - Street 1:2383 2ND AVE APT 2302
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2353
Practice Address - Country:US
Practice Address - Phone:347-771-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula