Individual
CRYSTAL R WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7 EMERY RD, MEXICO, NY 13114-3311
(315) 591-7868
Mailing address
7 EMERY RD, MEXICO, NY 13114-3311
(315) 591-7868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
712374
NY
164W00000X
Licensed Practical Nurse
Primary
304067-1
NY
Other
Enumeration date
12/12/2010
Last updated
05/06/2026
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