Gristina, Jerome A A

Gristina, Jerome A A is an individual health care provider with primary practice located at 150 Lockwood Ave Suite 10, New Rochelle NY 10801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gristina, Jerome A A can be contacted via phone (914) 636-4466.

Contact Information

Primary practice address
150 Lockwood Ave Suite 10 New Rochelle NY 10801
Phone: (914) 636-4466
Fax: (914) 636-0611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0866131 New York

Profile Details

NPI number 1891705570
LBN Legal business name Gristina, Jerome A A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1891705570 NPPES
New York MEDICAID 00134634

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