NPI 1013071091

Jeri Latrice Crenshaw, PA

Practitioner Physician Assistant Astoria, NY

Practice location

Address: 3244 31st St, Astoria, NY 11106-2630
Phone: (718) 956-6565
Fax: (718) 956-7463

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 009329 (NY)

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Registry record

NPI: 1013071091
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.