FIVE CREST MEDICAL DIAGNOSTIC P.C.
NPI 1104378058
Specialist in Brooklyn, NY

Active since October 26, 2016
124 BAY RIDGE AVE, BROOKLYN, NY 11220(718) 836-2199 Get Directions Write a Review

NPPES record last updated: July 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2017, Oct 26, 2016 (2 updates tracked since 2016).

About Five Crest Medical Diagnostic P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIVE CREST MEDICAL DIAGNOSTIC P.C. (NPI 1104378058) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since October 2016. The organization lists Sonia Walker, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104378058
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFIVE CREST MEDICAL DIAGNOSTIC P.C.
Location Address124 BAY RIDGE AVEBrooklyn, NY 11220-5109
Mailing AddressPo Box 7114Hicksville, NY 11802-7114 · (718) 599-1007
Organization SubpartNo
Authorized OfficialSonia WalkerMedical Director · (718) 599-1007
Enumeration DateOctober 26, 2016
Last NPPES UpdateJuly 6, 20172 updates tracked since enumeration
NPI 1104378058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
124 BAY RIDGE AVE, Brooklyn, NY 11220

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
124 BAY RIDGE AVE
BROOKLYN, NY 11220
Family Medicine
124 BAY RIDGE AVE
BROOKLYN, NY 11220
Family Medicine
124 BAY RIDGE AVE
BROOKLYN, NY 11220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Five Crest Medical Diagnostic P.C.'s NPI number?

The NPI number for Five Crest Medical Diagnostic P.C. is 1104378058. It was assigned to this organization in the NPPES registry on October 26, 2016.

Where is Five Crest Medical Diagnostic P.C. located?

Five Crest Medical Diagnostic P.C. is located at 124 Bay Ridge Ave, Brooklyn, NY 11220. The listed phone number is (718) 836-2199.

What is Five Crest Medical Diagnostic P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Five Crest Medical Diagnostic P.C. was last updated on July 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.