Flavio Crisari Physician Pc | |
8533 Forest Pkwy Woodhaven NY 11421-1130 | |
(718) 441-3970 | |
(718) 441-6291 |
Full Name | Flavio Crisari Physician Pc |
---|---|
Speciality | Internal Medicine |
Location | 8533 Forest Pkwy, Woodhaven, New York |
Authorized Official Name and Position | Flavio Crisari (PHYSICIAN/OWNER) |
Authorized Official Contact | 7184413970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Flavio Crisari Physician Pc 8533 Forest Pkwy Woodhaven NY 11421-1130 Ph: (718) 441-3970 | Flavio Crisari Physician Pc 8533 Forest Pkwy Woodhaven NY 11421-1130 Ph: (718) 441-3970 |
NPI Number | 1992018360 |
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Provider Enumeration Date | 07/14/2010 |
Last Update Date | 03/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992018360 | NPI | - | NPPES |
172573 | Other | NY | LICENSE NUMBER |
01045298 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 172573 (New York) | Primary |
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