Individual
CRYSTAL DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
274 N COLLINGWOOD AVE, SYRACUSE, NY 13206-2204
(315) 807-1867
Mailing address
274 N COLLINGWOOD AVE, SYRACUSE, NY 13206-2204
(315) 807-1867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296282
NY
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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