Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL ALLEY, MSED
ActiveCRYSTAL ALLEY, MSED is a Specialist healthcare provider located in LACKAWANNA, New York. NPI 1205225489 is currently active in the NPPES registry. Verify at CMS.
Specialist · LACKAWANNA, NY
Registration Details
- NPI Number
- 1205225489
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 12, 2015 (11.555816832939 yrs)
- Last Updated
- Jan 12, 2015
Practice Information
- Address
-
790 RIDGE RDLACKAWANNA, NY, 142181629Browse NY providers · Browse ZIP 14218
- Phone
- 7168224781
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LACKAWANNA, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY MAI IWANENKO | MS, OTR/L, ATP, SI/C | 1811173990 |
| LUIZA PODLESNY | PT, MPT | 1730367764 |
| KEITH CHARLES FRAAS | PT | 1841478104 |
| MRS. JENNIFER ANNE MOLEA | MS OTR/L | 1548427552 |
| MRS. KAREN JO GOLDWATER | OT | 1952569907 |
| NAFEESA MUSSA | MS, OTR/L | 1427218155 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.