MEDICARE: DR. AYLIN SARA CRUGNALE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2026-00993	NC
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1245934272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AYLIN SARA CRUGNALE MD

Provider Business Mailing Address
First Line	:	13540 HULL STREET RD
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-2107
Country	:	US
Telephone Number	:	804-595-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1123 N CHURCH ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1007
Country	:	US
Telephone Number	:	336-832-4400
Fax Number	:	336-832-4440

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	06/10/2026

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