Most Relevant Information
Provider Data
| NPI Number: | 1003531765 |
| Provider Name: | GABRIELLE CRISAFULLI LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 37PC00955600 |
Most Important Dates
| Enumeration Date: | 10/05/2022 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
306 WASHINGTON ST # 302
HOBOKEN
NJ
070305162
Practice Location Phone/Fax
| Phone: | 2012187431 |
| Fax: |
Provider Mailing Location
549 PASSAIC AVE
KENILWORTH
NJ
070331808
Provider Mailing Phone/Fax
| Phone: | 9734443423 |
| Fax: |