Provider Demographics
NPI:1598824013
Name:CRICK, NEVILLE C (PT)
Entity Type:Individual
Prefix:MR
First Name:NEVILLE
Middle Name:C
Last Name:CRICK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 MURDOCK AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2423
Mailing Address - Country:US
Mailing Address - Phone:516-972-9220
Mailing Address - Fax:
Practice Address - Street 1:3906 MURDOCK AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-2423
Practice Address - Country:US
Practice Address - Phone:516-972-9220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist