Organization
TILDEN MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY CREVECOEUR MD (OWNER)
(646) 373-9624
Entity
Organization
Contact information
Practice address
381 ROCKAWAY AVE, BROOKLYN, NY 11212-5635
(718) 522-3400
(929) 430-0511
Mailing address
381 ROCKAWAY AVE, BROOKLYN, NY 11212-5635
(718) 522-3400
(929) 430-0511
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
184270
NY
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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