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Individual

ELIZABETH D CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
100 BROAD ST, GLENS FALLS, NY 12801-4349
(518) 792-2223
(518) 792-8231
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
(518) 824-2388

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001266
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01270891
NY
Enumeration date
12/24/2009
Last updated
02/08/2017
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