# FLAVIO CRISARI PHYSICIAN PC

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

## Provider details

- **NPI number:** 1992018360
- **Authorized official:** DR. FLAVIO CRISARI MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (718) 441-3970

## Contact information

- **Practice address:** 8533 FOREST PKWY, WOODHAVEN, NY 11421-1130
- **Practice address phone:** (718) 441-3970
- **Practice address fax:** (718) 441-6291
- **Mailing address:** 8533 FOREST PKWY, WOODHAVEN, NY 11421-1130
- **Mailing address phone:** (718) 441-3970
- **Mailing address fax:** (718) 441-6291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 172573 | NY | Yes |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 03/01/2011