Individual
CHRYSTAL BEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
60 MAIN ST, PORT BYRON, NY 13140
(315) 776-9700
(315) 776-9701
Mailing address
14 MAIDEN LN, PENN YAN, NY 14527-1208
(315) 531-9102
(315) 531-9103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315535
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315535
LICENSE
NY
Enumeration date
10/07/2016
Last updated
10/07/2016
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