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Individual

CRYSTAL ATCHINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1367 WASHINGTON AVE, ALBANY, NY 12206-1069
(518) 489-2666
Mailing address
1367 WASHINGTON AVE, ALBANY, NY 12206-1069
(518) 489-2666

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014311
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NY
Enumeration date
11/13/2010
Last updated
03/17/2018
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