Individual
CRYSTAL CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2040 SENECA ST, BUFFALO, NY 14210-2324
(716) 828-0560
(716) 828-1522
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
630988
NY
Other
Enumeration date
08/31/2007
Last updated
05/30/2012
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