Cristalli, Gaetano Matthew
Cristalli, Gaetano Matthew is an individual health care provider with primary practice located at 279 Troy Rd Family Medical Group, Rensselaer NY 12144-9518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cristalli, Gaetano Matthew can be contacted via phone (518) 286-1922.Contact Information
Primary practice address
279 Troy Rd Family Medical Group
Rensselaer NY 12144-9518
Phone: (518) 286-1922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 262096 | New York |
Profile Details
| NPI number | 1740593094 |
|---|---|
| LBN Legal business name | Cristalli, Gaetano Matthew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2010 |
| Last updated | May 12th, 2021 - about 3 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 | 1740593094 | NPPES |
| New York | MEDICAID | 00473565 |
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