Individual
CRYSTAL TOMKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2465 BONADENT DR STE 3, WATERLOO, NY 13165-4111
(315) 539-1936
(315) 539-9493
Mailing address
2465 BONADENT DR STE 3, WATERLOO, NY 13165-4111
(315) 539-1936
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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