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Organization
133 EAST MEDICAL PC
Active
Organization
133 EAST MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY STEPHEN CRESPIN MD (OWNER)
(917) 721-8802
Entity
Organization
Contact information
Practice address
252 E 61ST ST APT 1DN, NEW YORK, NY 10065-8559
(631) 264-2035
(631) 264-1418
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2035
(631) 264-1418
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60247944
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/24/2008
Last updated
11/08/2017
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