Individual
GLORIA CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA, CNA
Contact information
Practice address
6929 68TH ST, GLENDALE, NY 11385-6628
(917) 494-4132
Mailing address
6929 68TH ST, GLENDALE, NY 11385-6628
(917) 494-4132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12
FAMILY CODE VALUE HOME
NY
01
—
21
INPATIENT HOSPITAL
NY
01
—
22
OUTPATIENT HOSPITAL
NY
01
—
31
SKILLED NURSING FACILITY
NY
01
—
99
OTHER UNLISTED FACILITY
NY
Enumeration date
07/15/2015
Last updated
07/15/2015
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