Crescent Medical Care PC
Internal Medicine in Rego Park, NY. Organization (NPI-2).
NPI number1760612246
StatusActive
Last updated in NPPESJul 20, 2009
Details
- NPI
- 1760612246
- Entity type
- Organization (NPI-2)
- Legal business name
- Crescent Medical Care PC
- Organization subpart
- No
- Enumeration date
- Jul 20, 2009
- Last updated
- Jul 20, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 221766 | NY | Yes |
Practice location
6425 Ellwell CrscentRego Park, NY 11374
Phone 718-997-6400 · Fax 718-997-6405
Mailing address
6425 Ellwell CrscentRego Park, NY 11374
Phone 718-997-6400 · Fax 718-997-6405
Authorized official
Vyacheslav Galibov
Owner
7189976400
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