National Provider Identifier

Crystal Alley, MSED

Crystal Alley, MSED is listed in the NPPES registry with a primary specialty of Specialist in Lackawanna, NY and a listed phone number of (716) 822-4781.

NPI 1205225489Lackawanna, NYSpecialist

Profile Overview

NPI
1205225489
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 12, 2015
Last Updated
January 12, 2015

Practice Location

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 822-4781

Mailing Address

  • 801 S Huth RD
  • Cheektowaga, NY 14225-1722

Specialties

  • Specialist (174400000X)
Full Record
NPI
1205225489
Entity Type
Individual
Last Name
Alley
First Name
Crystal
Credential
MSED
Mailing Street Address
801 S Huth RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1722
Mailing Country
US
Mailing Phone
(315) 657-5706
Practice Street Address
790 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 822-4781
Enumeration Date
January 12, 2015
Last Updated
January 12, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)