Individual
CRISTA LYNN COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10456 SALTER RD, NORTH ROSE, NY 14516-9708
(315) 587-4005
Mailing address
50 CLOVER CROSSINGS, MANCHESTER, NY 14504-9782
(607) 731-6144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1156908
NY
Other
Enumeration date
08/22/2022
Last updated
01/16/2025
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