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NPI Code Detail

MEDICARE: DR. DAVID CRUVANT M.D.

MEDICARE: DR. DAVID CRUVANT M.D.
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
1208000000XPediatrics Physician140635NY

General Provider Information

NPI Number : 1326148826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID CRUVANT M.D.
Provider Business Mailing Address
First Line : 1301 57TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4636
Country : US
Telephone Number : 718-283-3640
Fax Number : 718-283-3602
Provider Business Practice Location Address
First Line : 1301 57TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4636
Country : US
Telephone Number : 718-283-3640
Fax Number : 718-283-3602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2006
Last Update Date : 11/12/2008

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Directions to “ DR. DAVID CRUVANT M.D.” Practice Location

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