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General NPI Number Information
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NPI Number | 1992995013
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Entity Type | Organization
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Legal Business Name | JOHN CRESCIONE D C P C
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 55 POST AVE STE 204
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City | WESTBURY
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State | NY
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Zip | 11590-4362
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Country | US
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Telephone | 516-338-1973
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Fax | 516-338-1971
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Provider Business Mailing Address
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Address Line | 55 POST AVE STE 204
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City | WESTBURY
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State | NY
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Zip | 11590-4362
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Country | US
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Telephone | 516-338-1973
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Fax | 516-338-1971
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JOHN VITO CRESCIONE
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Credential | DC
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Telephone | 516-338-1973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X006264
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License Number State | NY
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