Individual
DODDY LEE CRISELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
109 N MAIN ST, SUITE 2, BAINBRIDGE, NY 13733-1212
(607) 967-2000
(607) 967-2004
Mailing address
109 N MAIN ST, BAINBRIDGE, NY 13733-1212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70011797
NY
Other
Enumeration date
10/14/2009
Last updated
01/29/2014
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