# CRESPO INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215389689
- **Authorized official:** MR. ANTHONY CRESPO M.S.E.D. (PRESIDENT)
- **Authorized official phone:** (516) 826-0214

## Contact information

- **Practice address:** 1339 MARTIN DR, WANTAGH, NY 11793-2654
- **Practice address phone:** (516) 826-0214
- **Practice address fax:** (516) 826-0214
- **Mailing address:** 1339 MARTIN DR, WANTAGH, NY 11793-2654
- **Mailing address phone:** (516) 826-0214
- **Mailing address fax:** (516) 826-0214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 07/08/2016
- **Last updated:** 07/08/2016
