Crooke, Gregory A
Crooke, Gregory A is an individual health care provider with primary practice located at 4802 10Th Ave , Brooklyn NY 11219-2916. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Crooke, Gregory A can be contacted via phone (718) 283-7686.Contact Information
Primary practice address
4802 10Th Ave
Brooklyn NY 11219-2916
Phone: (718) 283-7686
Fax: (718) 635-7366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 179123 | New York |
Profile Details
| NPI number | 1457351744 |
|---|---|
| LBN Legal business name | Crooke, Gregory A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jan 27th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457351744 | NPPES |
| New York | MEDICAID | 01797795 |
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