Individual ProviderVictoria CrispiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address475 Seaview Ave, Staten Island, NY 10305-3436(718) 226-9000(347) 816-6047PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Crispi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1124765581Provider TypeIndividualFull NameCrispi, VictoriaCredentialPAGenderFemaleSole ProprietorYesEnumeration Date5/17/2022Last Updated4/24/2023Contact InformationPractice LocationPractice Address475 Seaview Ave, Staten Island, NY 10305-3436Phone(718) 226-9000FaxUnlisted FaxMailing LocationMailing Address7 Wyndcrest Ct, Colts Neck, NJ 07722-1277Phone(347) 816-6047FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense028768-01New YorkCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer