Individual
MR. ROBERT CRISALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
285 VANDERBILT AVE, STATEN ISLAND, NY 10304-2525
(718) 981-4382
Mailing address
285 VANDERBILT AVE, STATEN ISLAND, NY 10304-2525
(718) 981-4382
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10400
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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