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 is a Family Medicine Physician 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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