Individual
CRYSTAL ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7908 SLAYTON SETTLEMENT RD, #9, GASPORT, NY 14067-9601
(720) 236-6130
(720) 862-2130
Mailing address
7908 SLAYTON SETTLEMENT RD, #9, GASPORT, NY 14067-9601
(720) 236-6130
(720) 862-2130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293312
NY
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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