Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crescent Integrative Medical PLLC

Organization Family Medicine Physician · NPI 1881424885

Crescent Integrative Medical PLLC provides Family Medicine Physician services in Glen Cove, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

235 Forest Ave
Glen Cove, NY 11542-2034
Phone: (516) 671-7770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1881424885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khawaja Siddique — Md · (516) 671-7770
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address235 Forest Ave, Glen Cove, NY 11542-2034

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