MEDICARE: ABIGAIL CRAPO-HOENIG MSED

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	251300000X	Local Education Agency (LEA)	893414	NY

General Provider Information

NPI Number	:	1245517887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL CRAPO-HOENIG MSED

Provider Business Mailing Address
First Line	:	372 GANSEVOORT BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5117
Country	:	US
Telephone Number	:	917-579-7618
Fax Number	:

Provider Business Practice Location Address
First Line	:	372 GANSEVOORT BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5117
Country	:	US
Telephone Number	:	917-579-7618
Fax Number	:

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

Provider Enumeration Date	:	11/10/2011
Last Update Date	:	11/10/2011

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