MEDICARE: VANESSA CRAGWELL

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	164W00000X	Licensed Practical Nurse	293545	NY
2	163W00000X	Registered Nurse	N41280-01	NY

General Provider Information

NPI Number	:	1285198614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA CRAGWELL

Provider Business Mailing Address
First Line	:	6321 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5425
Country	:	US
Telephone Number	:	347-465-1143
Fax Number	:

Provider Business Practice Location Address
First Line	:	6321 NEW UTRECHT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5425
Country	:	US
Telephone Number	:	212-687-7464
Fax Number	:

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

Provider Enumeration Date	:	01/30/2019
Last Update Date	:	05/26/2026

Similar Medicare Providers

1992264592 — RHEA EDGHILL
Practice Location Address:

6321 NEW UTRECHT AVE
BROOKLYN, NY
11219-5425

Practice Phone: 212-687-7464
Practice Fax:

1225205354 — GREATER NEW YORK HOME CARE LLC
Practice Location Address:

6321 NEW UTRECHT AVE , FL 2
BROOKLYN, NY
11219-5425

Practice Phone: 718-388-4100
Practice Fax:

1801123625 — AMEENA YASIN HAKIM RN, MSN
Practice Location Address:

6321 NEW UTRECHT AVE , GNY HOMECARE 2ND FL
BROOKLYN, NY
11219-5425

Practice Phone: 718-388-4100
Practice Fax: 718-799-1044

1164754933 — IRENE CHEVRIN LPN
Practice Location Address:

6321 NEW UTRECHT AVE
BROOKLYN, NY
11219-5425

Practice Phone: 212-687-7464
Practice Fax:

1376897587 — MRS. JACQUELINE MCCULLOCH RN
Practice Location Address:

6321 NEW UTRECHT AVE
BROOKLYN, NY
11219-5425

Practice Phone: 718-388-4100
Practice Fax: 718-388-4236

1174965636 — MARIE CARLINE VOLTAIRE
Practice Location Address:

6321 NEW UTRECHT AVE
BROOKLYN, NY
11219-5425

Practice Phone: 212-687-7464
Practice Fax:

Directions to “ VANESSA CRAGWELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.