Clova E Crisp in Holtsville - Gerontology

Clova E Crisp - NPI 1689845182

Clova E Crisp is a Gerontology in Holtsville, New York. Clova E Crisp practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Clova E Crisp is 1689845182. The last update date is 2008-03-12.

Clova E Crisp's current location address is 322 Cassa Loop, Holtsville, New York. You can contact this provider via phone number 6317582414. The mailing address for Clova E Crisp is 322 Cassa Loop, Holtsville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Clova E Crisp
Address 322 Cassa Loop, Holtsville, New York
Phone Number 6317582414
Fax Number
Sole Proprietor Y
Credentials RPN

NPI Number Detail

NPI Number 1689845182
Provider Enumeration Date 2008-03-12
Last Updated Date 2008-03-12

Provider Mailing Address Detail

Address 322 Cassa Loop
City Holtsville
State New York (NY)
Post Code 117422622
Phone Number 6317582414
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 163Wg0600X
Licence No 505112-1
Definition:
A registered nurse who works with older adult patients.

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FAQs about Clova E Crisp

What is the unique identifier code issued to Clova E Crisp by the Centers for Medicare & Medicaid Services?

The Clova E Crisp has been assigned the NPI (National Provider Identifier) 1689845182. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Clova E Crisp?

The Clova E Crisp is situated at 322 Cassa Loop, in the city of Holtsville, state of NY, with the zip code 117422622.

What is the Clova E Crisp's specialty and taxonomy code?

The Clova E Crisp's specialty is Gerontology, and the corresponding taxonomy code is 163Wg0600X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1689845182 to Clova E Crisp?

The Centers for Medicare & Medicaid Services originally issued the 1689845182 to Clova E Crisp on 2008-03-12.

When was the Clova E Crisp's information last updated?

The Clova E Crisp's information was last updated on 2008-03-12.

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