Organization · Type 2 NPI
Five Crest Medical Diagnostic P.c.
Specialist · Brooklyn, NY
NPI number
1104378058
Active
Practice location
124 Bay Ridge Ave
Brooklyn, NY 11220-5109
Mailing address
PO Box 7114
Hicksville, NY 11802-7114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104378058
Five Crest Medical Diagnostic P.c.'s National Provider Identifier is 1104378058, issued on Oct 26, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 6, 2017.