Individual
CRYSTAL MUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 CLEVELAND DRIVE, CHEEKTOWAGA, NY 14225-1422
(716) 603-6407
Mailing address
1126 CLEVELAND DR, CHEEKTOWAGA, NY 14225-1258
(716) 603-6407
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280157
NY
Other
Enumeration date
06/06/2017
Last updated
07/12/2017
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