Individual
DR. HENRY E CRETELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 CENTER ST, CANANDAIGUA, NY 14424-2101
(585) 424-3390
(585) 272-8986
Mailing address
16 LARCHWOOD DR, PITTSFORD, NY 14534-2434
(585) 248-0427
(585) 223-9241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
130292
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
130292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60130292
STATE EDUCATION DEPT #
NY
Enumeration date
02/02/2006
Last updated
10/07/2011
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