MEDICARE: MICHAELA ANNE CRISPIN

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
1	101YM0800X	Mental Health Counselor		NY

General Provider Information

NPI Number	:	1780517847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAELA ANNE CRISPIN

Provider Business Mailing Address
First Line	:	1499 BEDFORD AVE APT 5K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-6797
Country	:	US
Telephone Number	:	805-908-5632
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 W 60TH ST FL 6
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-7905
Country	:	US
Telephone Number	:	646-470-5524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ MICHAELA ANNE CRISPIN ” Practice Location

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