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NPI 1578187332

NPI 1578187332 : DR. EMMA CROTTY : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1578187332
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    Entity Type          |    Individual 
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    Provider Name        |    DR. EMMA CROTTY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/07/2020
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    Last Update Date     |    06/26/2024
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Provider Practice Location Address
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    Address Line         |    4422 3RD AVE 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10457-2594
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    Country              |    US
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    Telephone            |    718-960-9000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6651 MAIN ST # MCE1420 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-2351
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    Country              |    US
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    Telephone            |    
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    D0097711
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    License Number State |    MD
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