Individual
MS. DIANE ELIZABETH CRACCHIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
970 NORTH BROADWAY, SUITE 308A, YONKERS, NY 10701
(914) 375-2229
(914) 965-2044
Mailing address
970 NORTH BROADWAY, SUITE 308A, YONKERS, NY 10701
(914) 375-2229
(914) 965-2044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01888691
—
NY
01
—
2U231
BLUE CROSS
NY
01
—
P1106692
OXFORD
NY
Enumeration date
10/27/2006
Last updated
07/08/2007
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