MEDICARE: MS. EMILY KATHRYN CRUSAN

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	133V00000X	Registered Dietitian	DN009185	PA

General Provider Information

NPI Number	:	1366213464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY KATHRYN CRUSAN

Provider Business Mailing Address
First Line	:	2 ALLEGHENY CTR STE 530
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15212-5404
Country	:	US
Telephone Number	:	412-330-5961
Fax Number	:	412-330-5844

Provider Business Practice Location Address
First Line	:	4815 LIBERTY AVE STE 215
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-2156
Country	:	US
Telephone Number	:	412-235-5900
Fax Number	:	412-235-5901

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

Provider Enumeration Date	:	01/09/2024
Last Update Date	:	06/11/2026

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