Individual
MISS COURTNEY LEIGH CROOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9053 STATE ROUTE 53, BATH, NY 14810-8008
(607) 622-6000
Mailing address
17 MORELAND DR, BEAVER DAMS, NY 14812-9101
(607) 684-1478
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301598
NY
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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