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Contact Information

133 EAST MEDICAL PC
252 E 61ST ST APT 1DN
NEW YORK, NY10065-8559
 Phone: 631-264-2035
 Fax: 631-264-1418
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for 133 EAST MEDICAL PC

NPI # 1508002445
LBN Legal business name 133 EAST MEDICAL PC
Authorized official JEFFREY CRESPIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2008
Last updated 11/08/2017 - More than a year ago
Identifiers
NY License # 60247944
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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