National Provider Identifier
Joseph E Chruscicki, M.D.
Joseph E Chruscicki, M.D. is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in Pittsford, NY and a listed phone number of (585) 368-6550.
Profile Overview
- NPI
- 1609879410
- Provider Type
- Individual
- Primary Specialty
- Child & Adolescent Psychiatry Physician
- Enumeration Date
- May 24, 2005
- Last Updated
- March 19, 2020
Practice Location
- 141 Sullys Trl
- Ste 5B
- Pittsford, NY 14534-4563
Phone: (585) 368-6550
Specialties
- Child & Adolescent Psychiatry Physician (2084P0804X)
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1609879410
- Entity Type
- Individual
- Last Name
- Chruscicki
- First Name
- Joseph
- Middle Name
- E
- Credential
- M.D.
- Mailing Street Address
- 141 Sullys Trl
- Mailing Address Line 2
- Ste 5B
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-4563
- Mailing Country
- US
- Mailing Phone
- (585) 368-6550
- Mailing Fax
- (585) 368-6540
- Practice Street Address
- 141 Sullys Trl
- Practice Address Line 2
- Ste 5B
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-4563
- Practice Country
- US
- Practice Phone
- (585) 368-6550
- Practice Fax
- (585) 368-6540
- Enumeration Date
- May 24, 2005
- Last Updated
- March 19, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 19, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Child & Adolescent Psychiatry Physician (2084P0804X), Psychiatry Physician (2084P0800X)
- Other Identifiers
- 10989059 (NY, Caqh), 00027056901 (NY, Univera), 1512813 (NY, Independent Health), 000528054001 (NY, Health Integrated)