Individual
CRYSTAL SMITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
56 MARKET ST, POTSDAM, NY 13676-1747
(315) 265-4065
(315) 265-0012
Mailing address
56 MARKET ST, POTSDAM, NY 13676-1747
(315) 265-4065
(315) 265-0012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
515424
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952407033
—
NY
Enumeration date
08/26/2009
Last updated
08/26/2009
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