Provider Demographics
NPI:1043023062
Name:DRCRESOLO CONSULTING LLC
Entity type:Organization
Organization Name:DRCRESOLO CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CRESPO-SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:201-923-8442
Mailing Address - Street 1:2328 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-4206
Mailing Address - Country:US
Mailing Address - Phone:201-923-8442
Mailing Address - Fax:
Practice Address - Street 1:2328 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-4206
Practice Address - Country:US
Practice Address - Phone:201-923-8442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty