Provider Demographics
NPI:1376819631
Name:CRESPI, PAUL (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:CRESPI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 PARKVIEW PL
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1823
Mailing Address - Country:US
Mailing Address - Phone:914-864-2736
Mailing Address - Fax:
Practice Address - Street 1:1330 BRISTOW ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-1416
Practice Address - Country:US
Practice Address - Phone:718-893-6813
Practice Address - Fax:718-893-6816
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016766225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics