Individual
GIUSEPPE CRUCIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD RM 120, STONY BROOK, NY 11794-0001
(631) 444-5400
Mailing address
101 NICOLLS RD RM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
286994-1
NY
2085R0202X
Diagnostic Radiology Physician
286994-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
01/18/2024
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