Cretella, Vincent

Cretella, Vincent is an individual health care provider with primary practice located at 20 Crystal Street , Monticello NY 12701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cretella, Vincent can be contacted via phone (845) 707-4326.

Contact Information

Primary practice address
20 Crystal Street Monticello NY 12701
Fax: (845) 707-4398
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 303215-01 New York

Profile Details

NPI number 1831813013
LBN Legal business name Cretella, Vincent
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2022
Last updated Sep 15th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831813013 NPPES
New York MEDICAID 03308192

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