25-15 CRESCENT STREET MEDICAL PC NPI 1770243529

NPI Information

NPI: 1770243529
Provider Name: 25-15 CRESCENT STREET MEDICAL PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
10818 63RD RD
FOREST HILLS, NY
ZIP 11375
Phone: (718) 897-5331
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25-15 CRESCENT STREET MEDICAL PC is an obstetrics gynecology in Forest Hills, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. 25-15 CRESCENT STREET MEDICAL PC NPI is 1770243529. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10818 63RD RD
FOREST HILLS, NY
ZIP 11375-352
Phone: (718) 897-5331

The provider's authorized official is James Gohar .
The authorized official title is Owner and has the following contact phone number (718) 897-5331.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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