1. Home
  2. Directory
  3. New York
  4. South Richmond Hill
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

SURIJDEI AMANDA DECRUIZ MD
NPI 1932742723
Student in an Organized Health Care Education/Training Program in South Richmond Hill, NY

Active since October 24, 2019
12306 97TH AVE, SOUTH RICHMOND HILL, NY 11419(347) 314-6501 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Surijdei Amanda Decruiz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURIJDEI AMANDA DECRUIZ MD (NPI 1932742723) is an individual student in an organized health care education/training program in South Richmond Hill, New York and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1932742723
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSURIJDEI AMANDA DECRUIZCredential: MD
Location Address12306 97TH AVESouth Richmond Hill, NY 11419-1402
Mailing Address12306 97th AveSouth Richmond Hill, NY 11419-1402 · (347) 314-6501
Phone(347) 314-6501
Sole ProprietorNo
Enumeration DateOctober 24, 2019
✔ NPI 1932742723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12306 97TH AVE, South Richmond Hill, NY 11419
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surijdei Decruiz's NPI number?

The NPI number for Surijdei Decruiz is 1932742723. It was assigned to this individual provider in the NPPES registry on October 24, 2019.

Where is Surijdei Decruiz located?

Surijdei Decruiz practices at 12306 97th Ave, South Richmond Hill, NY 11419. The listed phone number is (347) 314-6501.

What is Surijdei Decruiz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Surijdei Decruiz was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.