Individual
MR. JOSEPH A CRISAFULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
120 RUSSELL RD, ALBANY, NY 12205-1950
(518) 489-3668
(518) 489-3893
Mailing address
120 RUSSELL RD, ALBANY, NY 12205-1950
(518) 489-3668
(518) 489-3893
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01161408
—
NY
Enumeration date
11/22/2005
Last updated
07/02/2008
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