Individual provider · Type 1 NPI

David Matthew Crenshaw, PA-C

Surgical Physician Assistant · Brooklyn, NY

NPI number 1063833069 Active

Practice location

506 6th St
Brooklyn, NY 11215-3609

Call (718) 780-3000 Map

Mailing address

9323 Shore Rd Apt 4C
Brooklyn, NY 11209-6640

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-04670 (NC)
Surgical Physician Assistant Primary 363AS0400X026169-01 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1063833069

David Matthew Crenshaw, PA-C's National Provider Identifier is 1063833069, issued on Dec 18, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 28, 2023.