Individual
DEAN MICHAEL DE CRISCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 BROADWAY AVE, WOODHULL MEDICAL AND MENTAL HEALTH CENTER-PSYCHIATRY, BROOKLYN, NY 11206
(718) 963-7939
Mailing address
41 SCHERMERHORN ST # 325, BROOKLYN, NY 11201-4802
(310) 980-8715
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A77157
CA
2084F0202X
Forensic Psychiatry Physician
234917
NY
2084P0015X
Psychosomatic Medicine Physician
234917
NY
2084P0800X
Psychiatry Physician
Primary
A77157
CA
2084P0804X
Child & Adolescent Psychiatry Physician
MA80935
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325431
—
NJ
Enumeration date
08/01/2006
Last updated
03/17/2015
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