Crispino, John
Crispino, John is an sole proprietor health care provider with primary practice located at 4665 Amboy Rd , Staten Island NY 10312-4152. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Crispino, John can be contacted via phone (718) 356-9826.Contact Information
Primary practice address
4665 Amboy Rd
Staten Island NY 10312-4152
Phone: (718) 356-9826
Fax: (718) 966-1594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N003913 | New York |
Profile Details
| NPI number | 1265415947 |
|---|---|
| LBN Legal business name | Crispino, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Apr 15th, 2011 - about 14 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 | 1265415947 | NPPES |
| New York | Other | 480033373 | RR MEDICARE |
| New York | Other | 0008386 | RR MEDICARE |
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