Individual
MRS. CRYSTAL ANNE DUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4205 LONG BRANCH RD, LIVERPOOL, NY 13090-3213
(315) 214-3431
(315) 546-2133
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 295-2100
(315) 295-2125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02715644
—
NY
Enumeration date
09/25/2006
Last updated
11/24/2008
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