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NPI Code Detail

MEDICARE: DR. JEFFREY STEPHEN CRESPIN M.D.

MEDICARE: DR. JEFFREY STEPHEN CRESPIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician213987NY
2207RG0100XGastroenterology Physician213987NY
3207RI0008XHepatology Physician213987NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164421277
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY STEPHEN CRESPIN M.D.
Provider Business Mailing Address
First Line : 45 E END AVE
Second Line : 4HJ
City : NEW YORK
State : NY
Zip : 10028-7953
Country : US
Telephone Number : 212-288-4115
Fax Number : 212-288-4115
Provider Business Practice Location Address
First Line : 155 E 47TH ST
Second Line : SUITE 1A
City : NEW YORK
State : NY
Zip : 10017-2009
Country : US
Telephone Number : 646-660-4006
Fax Number : 212-671-1350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 02/08/2011

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