Crooker, Krystal G
Crooker, Krystal G is an individual health care provider with primary practice located at 80 Sharron Ave , Plattsburgh NY 12901-4700. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Crooker, Krystal G can be contacted via phone (518) 561-1447.Contact Information
Primary practice address
80 Sharron Ave
Plattsburgh NY 12901-4700
Phone: (518) 561-1447
Fax: (518) 562-8812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 22190 | New York |
Profile Details
| NPI number | 1922261858 |
|---|---|
| LBN Legal business name | Crooker, Krystal G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Aug 5th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922261858 | NPPES |
| New York | MEDICAID | 01420800 |
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