Crucetti, Audrey

Crucetti, Audrey is an sole proprietor health care provider with primary practice located at 147 Town Line Rd , West Chazy NY 12992-3931. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Crucetti, Audrey can be contacted via phone (518) 420-3443.

Contact Information

Primary practice address
147 Town Line Rd West Chazy NY 12992-3931
Phone: (518) 420-3443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 000083 New York

Profile Details

NPI number 1538532445
LBN Legal business name Crucetti, Audrey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2015
Last updated Nov 2nd, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538532445 NPPES
New York Other 000083 NEW YORK STATE

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