Organization
FLAVIO CRISARI PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLAVIO CRISARI MD (PHYSICIAN/OWNER)
(718) 441-3970
Entity
Organization
Contact information
Practice address
8533 FOREST PKWY, WOODHAVEN, NY 11421-1130
(718) 441-3970
(718) 441-6291
Mailing address
8533 FOREST PKWY, WOODHAVEN, NY 11421-1130
(718) 441-3970
(718) 441-6291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
172573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01045298
—
NY
01
—
172573
LICENSE NUMBER
NY
Enumeration date
07/14/2010
Last updated
03/01/2011
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