MEDICARE: CROWDSPAN, INC.

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	247000000X	Health Information Technician

General Provider Information

NPI Number	:	1942937925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROWDSPAN, INC.

Provider Business Mailing Address
First Line	:	1562 1ST AVE # 205-1319
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-4004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1562 1ST AVE # 205-1319
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-4004
Country	:	US
Telephone Number	:	646-481-4642
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PATRICK FREY
Credential	:
Telephone Number	:	646-481-4642

Provider Enumeration Date	:	08/01/2022
Last Update Date	:	08/01/2022

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Directions to “CROWDSPAN, INC. ” Practice Location

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