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NPI Code Detail

MEDICARE: MS. ZINA I CRESCENZI APRN

MEDICARE: MS. ZINA I CRESCENZI APRN
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
1363LG0600XGerontology Nurse Practitioner001740CT

General Provider Information

NPI Number : 1962471342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ZINA I CRESCENZI APRN
Provider Business Mailing Address
First Line : 100 DOUBLE BEACH RD
Second Line :
City : BRANFORD
State : CT
Zip : 06405-4909
Country : US
Telephone Number : 203-500-4828
Fax Number : 203-315-7673
Provider Business Practice Location Address
First Line : 100 DOUBLE BEACH RD
Second Line :
City : BRANFORD
State : CT
Zip : 06405-4909
Country : US
Telephone Number : 203-315-7540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 03/10/2026

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