Organization
LICHFPP PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE CRENESSE MD (MANAGING EMPLOYEE)
(212) 256-3682
Entity
Organization
Contact information
Practice address
97 AMITY STREET, BROOKLYN, NY 11201-1601
(718) 398-5705
(718) 398-5709
Mailing address
160 WATER ST, 20 FLOORE, NEW YORK, NY 10038-4922
(212) 256-3682
(212) 256-3538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
05/26/2006
Last updated
03/21/2008
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