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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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.