Individual provider · Type 1 NPI
Alyssa Anne Criscuolo, PA-C
Surgical Physician Assistant · Englewood, NJ
NPI number
1831801414
Active
Practice location
350 Engle St Rm 4503
Englewood, NJ 07631-1808
Fax (201) 894-3764
Mailing address
95 Mohawk Trl
Ringwood, NJ 07456-2950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 25MP00746400 (NJ) |
Surgical Physician Assistant: Definition to come...
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About NPI 1831801414
Alyssa Anne Criscuolo, PA-C's National Provider Identifier is 1831801414, issued on Dec 15, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Englewood, NJ. The record was last updated on Dec 15, 2022.