Crown 13 INC
Clinic/Center in Great Neck, NY. Organization (NPI-2).
NPI number1871387803
StatusActive
Last updated in NPPESApr 7, 2025
Details
- NPI
- 1871387803
- Entity type
- Organization (NPI-2)
- Legal business name
- Crown 13 INC
- Organization subpart
- No
- Enumeration date
- Apr 7, 2025
- Certification date
- Apr 6, 2025
- Last updated
- Apr 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
37 Bellingham LnGreat Neck, NY 11023-1322
Phone 516-660-6344
Mailing address
37 Bellingham LnGreat Neck, NY 11023-1322
Authorized official
Maekal Elyasi
President
5166606344
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