Crystal Alley, MSED
NPI #1205225489 in Lackawanna, New York
Provider Information
- NPI Number
- 1205225489
- Entity Type
- Individual
- Name
- Crystal Alley, MSED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- MSED
- Enumeration Date
- Jan 12, 2015
- Last Updated
- Jan 12, 2015
Practice Location
- Address
- 790 RIDGE RD
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-1629
- Phone
- (716) 822-4781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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