Crescent Medical Care Pc

LBN: Crescent Medical Care Pc
Crescent Medical Care Pc is an health care organization with primary practice located at 6425 Ellwell Crscent , Rego Park NY 11374. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Crescent Medical Care Pc can be contacted via phone (718) 997-6400, or through Galibov, Vyacheslav via phone (718) 997-6400.

Contact Information

Primary practice address
6425 Ellwell Crscent Rego Park NY 11374
Phone: (718) 997-6400
Fax: (718) 997-6405
Website:
Map and Directions
Authorized official contact:
Name: Galibov, Vyacheslav Doctor of Medicine (MD)
Phone: (718) 997-6400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 221766 New York

Profile Details

NPI number 1760612246
LBN Legal business name Crescent Medical Care Pc
DBA Doing business as
Authorized official Galibov, Vyacheslav Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2009
Last updated Jul 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760612246 NPPES
New York MEDICAID 02196050

Popular Providers