Individual
MISSY A KRUSZELNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
61 DELANO ST, PULASKI, NY 13142-1400
(315) 298-6564
Mailing address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 561-6011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011763-1
NY
Other
Enumeration date
11/02/2018
Last updated
09/16/2024
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