Aeryal Renee Davison-Cruz
Specialist in South Ozone Park, NY. Individual provider (NPI-1).
NPI number1023925344
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1023925344
- Entity type
- Individual (NPI-1)
- Name
- Aeryal Renee Davison-Cruz
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2026
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
12811 Gotham RdSouth Ozone Park, NY 11420-2927
Phone 516-384-8147
Mailing address
12811 Gotham RdSouth Ozone Park, NY 11420-2927
Phone 516-384-8147
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All 21 Specialist providers in South Ozone Park · All 489 providers in South Ozone Park
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