Individual
ALYSSA ANNE CRISCUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 ENGLE ST RM 4503, ENGLEWOOD, NJ 07631-1808
(201) 894-3893
(201) 894-3764
Mailing address
95 MOHAWK TRL, RINGWOOD, NJ 07456-2950
(973) 934-8187
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00746400
NJ
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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