Individual
DR. COLLEEN MARY CRANDELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 PLAZA DR, SUITE B, VESTAL, NY 13850-3680
(607) 729-2777
Mailing address
25 DEBORAH DR, JOHNSON CITY, NY 13790-5102
(607) 729-0779
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
227706
NY
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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