Individual
CRYSTAL RONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 PHILIP DR, MONTGOMERY, NY 12549-2336
(845) 313-7053
Mailing address
38 PHILIP DR, MONTGOMERY, NY 12549-2336
(845) 313-7053
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292126
NY
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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