Flavio Crisari Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

172573 Issued in NY

Legal business name

FLAVIO CRISARI PHYSICIAN PC

Practice address

8533 Forest Pkwy
Woodhaven, NY 11421-1130

Phone

(718) 441-3970

Fax

(718) 441-6291

NPI assigned

Jul 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Flavio Crisari, MD

Title

Physician/Owner

Phone

(718) 441-3970

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1992018360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8533 FOREST PKWY",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211130",
            "telephone_number": "718-441-3970",
            "fax_number": "718-441-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8533 FOREST PKWY",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211130",
            "telephone_number": "718-441-3970",
            "fax_number": "718-441-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAVIO CRISARI PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "CRISARI",
        "authorized_official_first_name": "FLAVIO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "718-441-3970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "172573",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01045298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.