Individual
MR. CRAIG A DECRISTOFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 BELAIR DR, MASSAPEQUA PARK, NY 11762-3249
(516) 729-9885
Mailing address
212 BELAIR DR, MASSAPEQUA PARK, NY 11762-3249
(516) 729-9885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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