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General NPI Number Information
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NPI Number | 1306828751
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Entity Type | Individual
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Provider Name | DELFINO MICHAEL CRESCENZO MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 16150 92ND ST
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City | HOWARD BEACH
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State | NY
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Zip | 11414-3428
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Country | US
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Telephone | 718-848-0475
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Fax | 718-848-5830
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Provider Business Mailing Address
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Address Line | 16150 92ND ST
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City | HOWARD BEACH
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State | NY
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Zip | 11414-3428
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Country | US
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Telephone | 718-848-0475
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Fax | 718-848-5830
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 137516
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License Number State | NY
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