Individual
MRS. CRYSTAL RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 SOUTHSIDE DR, ONEONTA, NY 13820-3209
(607) 434-6531
Mailing address
462 SOUTHSIDE DR, ONEONTA, NY 13820-3209
(607) 434-6531
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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