Provider Demographics
NPI:1659539138
Name:CRISTA ZIRGULIS
Entity Type:Organization
Organization Name:CRISTA ZIRGULIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIRGULIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-380-5522
Mailing Address - Street 1:39 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-2419
Mailing Address - Country:US
Mailing Address - Phone:315-380-5522
Mailing Address - Fax:
Practice Address - Street 1:39 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-2419
Practice Address - Country:US
Practice Address - Phone:315-380-5522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management