Individual
MRS. CRYSTAL JOY-KARRY AMIDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7719 CANAL ST, BELFAST, NY 14711-8720
(585) 403-6270
Mailing address
7719 CANAL ST, BELFAST, NY 14711-8720
(585) 403-6270
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
281773-1
NY
Other
Enumeration date
07/11/2009
Last updated
07/11/2009
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