Individual
CRYSTAL CHRISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 COLLEGE AVE, SUITE #3, ELMIRA, NY 14901-1154
(607) 733-4504
Mailing address
1300 COLLEGE AVE, SUITE #3, ELMIRA, NY 14901-1154
(607) 733-4504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00293827
NY
164W00000X
Licensed Practical Nurse
2938271
NY
Other
Enumeration date
10/17/2012
Last updated
10/19/2012
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