Individual
MS. PRISCILLA CANTINE CRISPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
LAKESIDE NURSING HOME, INC., 1229 TRUMANSBURG RD, ITHACA, NY 14850-1313
(607) 273-8072
(607) 273-0373
Mailing address
111 CAMPBELL AVE., ITHACA, NY 14850
(607) 272-5927
(607) 273-0373
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3021451
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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