Provider Demographics
NPI:1952725947
Name:DE LA CRUZ, FRANCES ACOSTA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:ACOSTA
Last Name:DE LA CRUZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4526 48TH ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5329
Mailing Address - Country:US
Mailing Address - Phone:718-482-8704
Mailing Address - Fax:718-482-8704
Practice Address - Street 1:4526 48TH ST
Practice Address - Street 2:APT 3A
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5363
Practice Address - Country:US
Practice Address - Phone:718-482-8704
Practice Address - Fax:718-482-8704
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-11
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20091066908251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health