Individual
DIANA CRISAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 ROUTE 59, SUFFERN, NY 10901-4927
(845) 368-8808
(845) 357-0709
Mailing address
105 ARIELLE CT, APT.F, BUFFALO, NY 14221-1962
(917) 916-4151
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
270195
NY
Other
Enumeration date
03/14/2010
Last updated
11/12/2015
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