Organization
CENTRAL PARK WEST SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVANS CREVECOEUR M.D. (PRESIDENT)
(718) 354-6810
Entity
Organization
Contact information
Practice address
765 NOSTRAND AVENUE, BROOKLYN, NY 11216-4203
(718) 433-0044
(646) 680-0576
Mailing address
565 CONWAY RD, ELMONT, NY 11003-3519
(718) 354-6810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
10/19/2020
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