Organization · NPI-2

133 East Medical PC

Pathology, Anatomic Pathology & Clinical Pathology · New York, NY

NPI number1508002445
StatusActive
Last updated in NPPESNov 8, 2017

Details

NPI
1508002445
Entity type
Organization (NPI-2)
Legal business name
133 East Medical PC
Organization subpart
No
Enumeration date
Dec 24, 2008
Last updated
Nov 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––Yes
207L00000X Anesthesiology60247944NY

Practice location

252 E 61st St Apt 1dn
New York, NY 10065-8559

Phone 631-264-2035 · Fax 631-264-1418

Mailing address

Po Box 270
Massapequa Park, NY 11762-0270

Phone 631-264-2035 · Fax 631-264-1418

Authorized official

Jeffrey Stephen Crespin
Owner
9177218802

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