Individual
LYNN CRUMMY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DT
Contact information
Practice address
1302 E MAIN ST, UNITED MEDICAL ASSOCIATES PC, ENDICOTT, NY 13760-5428
(607) 757-2600
Mailing address
346 GRAND AVE, UNITED MEDICAL ASSOCIATES PC, JOHNSON CITY, NY 13790-2558
(607) 770-0025
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0665401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01096946
—
NY
Enumeration date
12/12/2005
Last updated
07/08/2007
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