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Contact Information

GUY G. CREVECOEUR, MD
95-25 QUEENS BLVD
REGO PARK, NY11374
 Phone: 718-896-4399
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GUY G. CREVECOEUR, MD

NPI Number 1972620847
LBN Legal business name GUY G. CREVECOEUR, MD
Authorized official SUZIE ASHJIAN - (CRED MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/23/2007
Last updated 07/31/2007 - About 19 years ago
Identifiers
NY License # 182078
NY Medicaid 01580914
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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