Provider Demographics
NPI:1316269954
Name:CRESPO, THANH-TU (PHARMD)
Entity type:Individual
Prefix:DR
First Name:THANH-TU
Middle Name:
Last Name:CRESPO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 W 60TH ST
Mailing Address - Street 2:APT 10M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7497
Mailing Address - Country:US
Mailing Address - Phone:646-300-1702
Mailing Address - Fax:
Practice Address - Street 1:1675 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3773
Practice Address - Country:US
Practice Address - Phone:212-348-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052540183500000X
NJ28RI03211600183500000X
MD18053183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist