Individual
MRS. COLLEEN KRYSTYNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. M.S. MHC
Contact information
Practice address
370 TOWN LINE RD, LANCASTER, NY 14086-9614
(716) 684-2962
Mailing address
370 TOWN LINE RD, LANCASTER, NY 14086-9614
(716) 684-2962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18 006054
NY
163W00000X
Registered Nurse
450781-1
NY
Other
Enumeration date
10/17/2012
Last updated
05/26/2014
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