Individual provider · Type 1 NPI
Ijah Mondesire-Crump, MD
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1992097448
Active
Practice location
1000 Tenth Avenue, Suite 2B-10
New York, NY 10019
Mailing address
50 E 98th St # 3F
New York, NY 10029-6552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1992097448
Ijah Mondesire-Crump, MD's National Provider Identifier is 1992097448, issued on May 3, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 3, 2012.