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Individual

MR. ANTHONY CRESPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
67-25 188TH STREET, FRESH MEADOWS, NY 11365
(718) 454-6460
Mailing address
1339 MARTIN DR, WANTAGH, NY 11793-2654

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NY

Other

Enumeration date
06/14/2012
Last updated
06/14/2012
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