SearchNew York174400000X

Irvin Crusoe, TEACHER

NPI 1942565676 · on the registry since 2012 · sole proprietor

Practice

Address
192 Bradhurst Ave
Suite 26
New York, NY 10039
Phone
(646) 765-7068
Fax
(212) 281-1827
Clinicians at this address
2

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York