Individual
ADRIENNE CRUDUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SAINT NICHOLAS TER APT 45, NEW YORK, NY 10027-3542
(917) 825-2054
Mailing address
1 SAINT NICHOLAS TER APT 45, NEW YORK, NY 10027-3542
(917) 825-2054
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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