Mr. Gregory R Criscuolo Jr., PA-C
Physician Assistant in New Britain, Connecticut
1962829101- Practice location
- 1 Lake St, New Britain, CT 06052-1396
- Phone
- 860-258-3470
- Fax
- —
- Last updated
- October 11, 2019
Gregory Richard Criscuolo is a Physician Assistant based in New Britain, CT. Gregory Richard Criscuolo practices in New Britain, CT and has the professional credentials of PA-C. The NPI Number for Gregory Richard Criscuolo is 1962829101 and holds a License No. 3047 (CT). The current practice location address for Gregory Richard Criscuolo is 1 Lake St, New Britain, CT 06052-1396 and can be reached out via phone at 860-258-3470.
Provider Profile Details
- NPI Number
- 1962829101
- Provider Name
- Gregory Richard Criscuolo
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Lake St, New Britain, CT 06052-1396
- Phone Number
- 860-258-3470
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2014
- Last Update Date
- October 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Lake St
New Britain, CT 06052-1396 - City
- New Britain
- State
- Connecticut
- Zip
- 06052-1396
- Phone Number
- 860-258-3470
Provider Business Mailing Address Details
- Address
- 360 Bloomfield Ave
Ste 209
Windsor, CT 06095-2700 - City
- Windsor
- State
- CT
- Zip
- 06095-2700
- Phone Number
- 860-258-3470
License Information
- License Number
- 3047
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Gregory R Criscuolo Jr., PA-C?
The NPI number of Mr. Gregory R Criscuolo Jr., PA-C is 1962829101. It was assigned on March 26, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Gregory R Criscuolo Jr., PA-C?
Mr. Gregory R Criscuolo Jr., PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 3047.
Where does Mr. Gregory R Criscuolo Jr., PA-C practice?
The practice location is 1 Lake St, New Britain, CT 06052-1396. The office can be reached at 860-258-3470 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962829101 directly on the NPPES registry website.