Individual
MS. CRYSTAL LYNN HEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED DIETITIAN
Contact information
Practice address
420 E GERMAN ST, # 103A, HERKIMER, NY 13350-1042
(315) 717-2202
(800) 892-4959
Mailing address
420 E GERMAN ST, # 103A, HERKIMER, NY 13350-1042
(315) 717-2202
(800) 891-4959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0053821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04800005382
—
NY
Enumeration date
10/31/2007
Last updated
12/09/2016
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