Individual
MRS. CRYSTAL REBA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
544 E MAIN ST, WEST WINFIELD, NY 13491-2912
(315) 822-6348
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(315) 822-6348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336321-1
NY
Other
Enumeration date
06/24/2010
Last updated
04/22/2013
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