Jeri Latrice Crenshaw, P.A

NPI #1013071091 in Astoria, New York

Provider Information

NPI Number: 1013071091
Entity Type: Individual
Name: Jeri Latrice Crenshaw, P.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A
Enumeration Date: Dec 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3244 31ST ST
City: Astoria
State: New York
ZIP Code: 11106-2630
Phone: (718) 956-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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