Individual
CRYSTAL GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
902 TABER ST, SUITE 3, ITHACA, NY 14850-5082
(607) 327-0047
Mailing address
92 GRAY RD, ITHACA, NY 14850-8762
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
27-023644
NY
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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