Organization · Type 2 NPI
Pavo Cristatus Medical PC
Specialist · Great Neck, NY
NPI number
1972065068
Active
Practice location
1010 Northern Blvd Ste 208
Great Neck, NY 11021-5320
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.
3 other providers at this address
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About NPI 1972065068
Pavo Cristatus Medical PC's National Provider Identifier is 1972065068, issued on Apr 5, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Great Neck, NY. The record was last updated on Apr 5, 2019.