Individual
DR. EUGENIO S. CRISOSTOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
976 ROANOKE AVENUE, RIVERHEAD, NY 11901
(631) 591-2288
(631) 591-2289
Mailing address
976 ROANOKE AVENUE, RIVERHEAD, NY 11901
(631) 591-2288
(631) 591-2289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
179847
NY
Other
Enumeration date
03/28/2006
Last updated
12/01/2008
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