Brenda L Crowder

NPI #1174013197 in Massena, New York

Provider Information

NPI Number: 1174013197
Entity Type: Individual
Name: Brenda L Crowder
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: May 15, 2018
Last Updated: Aug 21, 2018

Practice Location

Address: 1 HOSPITAL DR
City: Massena
State: New York
ZIP Code: 13662
Phone: (315) 764-1711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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