Individual
CASSANDRA VICTORIA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4221 SANDBAR LN, LIVERPOOL, NY 13090-1368
(315) 559-3266
Mailing address
4221 SANDBAR LN, LIVERPOOL, NY 13090-1368
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
120932
NY
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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