| NPI | 1134593270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYANA CRAWFORD Licensed Practical Nurse 585-465-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 322274) |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2015-11-29 |