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Contact Information

25-15 CRESCENT STREET MEDICAL PC
10818 63RD RD
FOREST HILLS, NY11375-1352
 Phone: 718-897-5331
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for 25-15 CRESCENT STREET MEDICAL PC

NPI # 1770243529
LBN Legal business name 25-15 CRESCENT STREET MEDICAL PC
Authorized official JAMES GOHAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2021
Last updated 12/21/2021 - About 4 years ago
Identifiers n/a
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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