Individual
JOVITA M CRASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2277 GRAND AVE, BALDWIN, NY 11510-3148
(516) 377-5400
(516) 377-5490
Mailing address
1 HEALTHY WAY, ATT PHYSICIAN BILLING -CREDENTIALS, OCEANSIDE, NY 11572-1551
(516) 255-1616
(516) 255-4672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NY167156
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245496
—
NY
Enumeration date
11/02/2005
Last updated
05/12/2009
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