Individual
BONNIE R CRAWFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
4646 NINE MILE POINT RD, FAIRPORT, NY 14450-1163
(585) 377-0350
Mailing address
1442 DAVIS RD, CHURCHVILLE, NY 14428-9711
(585) 889-1776
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340568-1
NY
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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