Healthcare Provider Details

I. General information

NPI: 1437370087
Provider Name (Legal Business Name): CARL VINCENT CRINITI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CARL V BOYER M.D.

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 01/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 W 13TH ST SUITE 105
NEW YORK NY
10014
US

IV. Provider business mailing address

303 W 13TH ST SUITE 105
NEW YORK NY
10014
US

V. Phone/Fax

Practice location:
  • Phone: 212-247-3376
  • Fax:
Mailing address:
  • Phone: 212-247-3376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number233971
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number233791
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: