Provider Demographics
NPI:1841012796
Name:TANIA CRUZ
Entity type:Organization
Organization Name:TANIA CRUZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREATIVE ARTS THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANIA CRUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:ATR-BC, LCAT
Authorized Official - Phone:914-893-5456
Mailing Address - Street 1:591 WARBURTON AVENUE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706
Mailing Address - Country:US
Mailing Address - Phone:914-893-5456
Mailing Address - Fax:
Practice Address - Street 1:591 WARBURTON AVENUE
Practice Address - Street 2:SUITE 25
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706
Practice Address - Country:US
Practice Address - Phone:914-893-5456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty