Individual
ABIGAIL ANN CRAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4568 COUNTY ROUTE 22, LACONA, NY 13083
(315) 532-3832
Mailing address
4568 COUNTY ROUTE 22, LACONA, NY 13083
(315) 532-3832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
283064
NY
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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