Individual
CRYSTAL LYNN STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
823 OLD MEDFORD AVE, MEDFORD, NY 11763-3548
(631) 289-3281
(631) 289-3281
Mailing address
823 OLD MEDFORD AVE, MEDFORD, NY 11763-3548
(631) 289-3281
(631) 289-3281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
501058
NY
163WM0102X
Maternal Newborn Registered Nurse
501058
NY
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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