Criscuolo, Gregory Richard

Criscuolo, Gregory Richard is an individual health care provider with primary practice located at 1 Lake St , New Britain CT 06052-1396. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Criscuolo, Gregory Richard can be contacted via phone (860) 258-3470.

Contact Information

Primary practice address
1 Lake St New Britain CT 06052-1396
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3047 Connecticut

Profile Details

NPI number 1962829101
LBN Legal business name Criscuolo, Gregory Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2014
Last updated Oct 11th, 2019 - about 6 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.

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