Individual
CHRYSTAL STARR NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 PHEASANT RUN, AMHERST, NY 14228-1841
(716) 691-7047
Mailing address
77 PHEASANT RUN, AMHERST, NY 14228-1841
(716) 691-7047
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
288991-1
NY
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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