Crespo, Gloria M.

Crespo, Gloria M. is an individual health care provider with primary practice located at 169 S Main St # 344 , New City NY 10956-3353. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Crespo, Gloria M. can be contacted via phone (646) 450-8455.

Contact Information

Primary practice address
169 S Main St # 344 New City NY 10956-3353
Phone: (646) 450-8455
Fax: (646) 570-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 168646 New York

Profile Details

NPI number 1881979771
LBN Legal business name Crespo, Gloria M.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Feb 26th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881979771 NPPES
New York MEDICAID 03382414

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