Chruscicki, Joseph E
Chruscicki, Joseph E is an individual health care provider with primary practice located at 141 Sullys Trl Ste 5B, Pittsford NY 14534-4563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Chruscicki, Joseph E can be contacted via phone (585) 368-6550.Contact Information
Primary practice address
141 Sullys Trl Ste 5B
Pittsford NY 14534-4563
Phone: (585) 368-6550
Fax: (585) 368-6540
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 215576 | New York |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 215576 | New York |
Profile Details
NPI number | 1609879410 |
---|---|
LBN Legal business name | Chruscicki, Joseph E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Mar 19th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609879410 | NPPES |
New York | Other | 10989059 | CAQH |
New York | Other | 00027056901 | CAQH |
New York | Other | 1512813 | CAQH |
New York | Other | 000528054001 | CAQH |
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