Provider Demographics
NPI:1629028097
Name:CZERWINSKYJ, CHRYSTINA DARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRYSTINA
Middle Name:DARIA
Last Name:CZERWINSKYJ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11 E HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211-2617
Mailing Address - Country:US
Mailing Address - Phone:518-785-1194
Mailing Address - Fax:
Practice Address - Street 1:STRATTON VA MEDICAL CENTER
Practice Address - Street 2:113 HOLLAND AVENUE
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-626-6350
Practice Address - Fax:518-626-6353
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2097672085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology