MR. IRVIN CRUSOE (NPI# 1942565676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942565676 |
| Entity Type | Individual |
| Full Name | MR. IRVIN CRUSOE |
| Credential | TEACHER |
| Practice Address |
192 Bradhurst Ave Suite 26 New York NY 10039-1406 |
| Practice Telephone | 6467657068 |
| Practice Fax Number | 2122811827 |
| Mailing Telephone | 6467657068 |
| Mailing Fax Number | 2122811827 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 21159 | NY | Other Service Providers |
| Street Address |
192 BRADHURST AVE SUITE 26 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10039-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280117 | Princess Nailah Blackwell | Licensed Practical Nurse | 2844 Fredrick Douglas Blvd, Apt# 5c, New York, NY 10039 | 2020-09-21 |
| 1265927701 | Samara L Pelt | Behavioral Analyst | 700 Lenox Ave Apt 6e, New York, NY 10039 | 2018-06-27 |
| 1245774827 | Celeste Elena Simpson | Speech-Language Pathologist | 2589 Seventh Ave, P.s. 200 The James Mccune Smith School, New York, NY 10039 | 2016-12-15 |
| 1902268840 | Rangel Pharmacy Inc | Pharmacy | 159 12 Harlem River Dr, New York, NY 10039 | 2016-03-21 |
| 1407212319 | Daphney Nicolas | Early Intervention Provider Agency | 271 West 146 Street Apt #9, New York, NY 10039 | 2016-01-07 |
| 1598152555 | Elizabeth Dorcena-jeune | Physician Assistant | 2698 Fredrick Douglass Boulevard, New York, NY 10039 | 2015-04-16 |
| 1083021133 | Andrea Kermack | Internal Medicine | 804 E 138th, Bronx, NY 10039 | 2014-07-21 |
| 1528335577 | Carlos Rafael Rodriguez | Internal Medicine | 2771 Frederick Douglass, New York, NY 10039 | 2011-11-18 |
| 1548578305 | Gspm Pharmacy Inc | Pharmacy | 2830 8th Ave, Pharmacy, New York, NY 10039 | 2010-09-15 |
| 1942524178 | Slrhc Faculty Practice | Internal Medicine | 2771 Frederick Douglass Boulevard, New York, NY 10039 | 2010-03-17 |
| Find all providers in zip 10039 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148652 | Gloria Li | Specialist | 959 1st Ave, New York, NY 10022-6649 | 2020-09-11 |
| 1700495041 | Ana Rosa Perez | Specialist | 318 E 116th St, New York, NY 10029-1506 | 2020-07-22 |
| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.