Chruscicki, Robert Karl

Chruscicki, Robert Karl is an individual health care provider with primary practice located at 288 Genesee Street , Utica NY 13502-4620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chruscicki, Robert Karl can be contacted via phone (315) 724-7744.

Contact Information

Primary practice address
288 Genesee Street Utica NY 13502-4620
Phone: (315) 724-7744
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0993291 New York

Profile Details

NPI number 1003982836
LBN Legal business name Chruscicki, Robert Karl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 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 1003982836 NPPES
New York MEDICAID 00569920

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