Individual
NANCY CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
71 HIGHLAND ST, PLYMOUTH, NH 03264-1233
(603) 536-3700
Mailing address
104 FULTON AVE, POUGHKEEPSIE, NY 12603
(845) 452-1700
(845) 452-1752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
164576
NY
208000000X
Pediatrics Physician
Primary
LT-3687
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01041890
—
NY
Enumeration date
03/30/2006
Last updated
06/16/2016
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