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General NPI Number Information
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NPI Number | 1013404169
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Entity Type | Individual
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Provider Name | MASSIEL ESTHER CRESPO FLEURY MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2018
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Last Update Date | 03/30/2024
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Provider Practice Location Address
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Address Line | 160 W 26TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-6975
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Country | US
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Telephone | 212-924-2510
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Fax |
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Provider Business Mailing Address
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Address Line | 330 W 58TH ST APT 11K
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City | NEW YORK
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State | NY
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Zip | 10019-1839
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Country | US
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Telephone | 646-707-9270
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P10037
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 317949
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 76709
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License Number State | CT
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