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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1740593094 NPPES
New York MEDICAID 00473565

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