Most Relevant Information
Provider Data
NPI Number: | 1003326901 |
Provider Name: | ALICIA KATHLEEN CRINELLA PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | MA059377 |
Most Important Dates
Enumeration Date: | 10/05/2017 |
Last Updated: | 05/05/2022 |
Provider Practice Location
3 W OLIVE ST
SCRANTON
PA
185082572
Practice Location Phone/Fax
Phone: | 5709613823 |
Fax: | 5702075988 |
Provider Mailing Location
100 N ACADEMY AVE
DANVILLE
PA
178224903
Provider Mailing Phone/Fax
Phone: | 5702716144 |
Fax: | 5702716578 |