Provider Demographics
NPI:1609843986
Name:MELENDEZ-CRUZ, YVONNE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:
Last Name:MELENDEZ-CRUZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 W 240TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2142
Mailing Address - Country:US
Mailing Address - Phone:718-548-7271
Mailing Address - Fax:
Practice Address - Street 1:445 W 240TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2141
Practice Address - Country:US
Practice Address - Phone:718-548-7271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007103-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics