Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 244293 | NY |
NPI | 1073526380 |
---|---|
Provider Name | Dr. Meredith J Cricco |
First Address | Rochester, NY 14621-3038 |
Second Address | Rochester, NY 14621-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 12/07/2016 |