Provider Demographics
NPI:1528363298
Name:CRIMA, JOSEPH M (RPH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:CRIMA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 POND PATH RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-5423
Mailing Address - Country:US
Mailing Address - Phone:631-580-5371
Mailing Address - Fax:
Practice Address - Street 1:265 POND PATH RD
Practice Address - Street 2:
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-5423
Practice Address - Country:US
Practice Address - Phone:631-580-5371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist