Crasta, Jovita M
Crasta, Jovita M is an individual health care provider with primary practice located at 2277 Grand Ave , Baldwin NY 11510-3148. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Crasta, Jovita M can be contacted via phone (516) 377-5400.Contact Information
Primary practice address
2277 Grand Ave
Baldwin NY 11510-3148
Phone: (516) 377-5400
Fax: (516) 377-5490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | NY167156 | New York |
Profile Details
| NPI number | 1053302711 |
|---|---|
| LBN Legal business name | Crasta, Jovita M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | May 12th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053302711 | NPPES |
| New York | MEDICAID | 00245496 |
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