Individual
DR. JENNIFER ROSE CRACCHIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(215) 707-3804
Mailing address
504 E 63RD ST APT 14M, NEW YORK, NY 10065-7924
(813) 469-2456
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
273452
NY
Other
Enumeration date
06/04/2009
Last updated
07/21/2022
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