Provider Demographics
NPI:1285244624
Name:CRUZ, FRANCIS (MFT)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:CRUZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RABRO DR STE 10
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-4270
Mailing Address - Country:US
Mailing Address - Phone:631-257-5900
Mailing Address - Fax:631-257-5900
Practice Address - Street 1:1 RABRO DR STE 10
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-4270
Practice Address - Country:US
Practice Address - Phone:631-257-5900
Practice Address - Fax:631-257-5900
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105160-01106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist