National Provider Identifier

Crista Lynn Coon

Crista Lynn Coon is listed in the NPPES registry with a primary specialty of Specialist in North Rose, NY and a listed phone number of (315) 587-4005.

NPI 1558089847North Rose, NYSpecialist

Profile Overview

NPI
1558089847
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 22, 2022
Last Updated
January 16, 2025

Practice Location

  • 10456 Salter RD
  • North Rose, NY 14516-9708

Phone: (315) 587-4005

Mailing Address

  • 50 Clover Crossings
  • Manchester, NY 14504-9782

Specialties

  • Specialist (174400000X)
Full Record
NPI
1558089847
Entity Type
Individual
Last Name
Coon
First Name
Crista
Middle Name
Lynn
Provider Other Last Name
Chiaramonte
Provider Other First Name
Crista
Provider Other Middle Name
Lynn
Provider Other Last Name Type Code
1
Mailing Street Address
50 Clover Crossings
Mailing City
Manchester
Mailing State
NY
Mailing ZIP Code
14504-9782
Mailing Country
US
Mailing Phone
(607) 731-6144
Practice Street Address
10456 Salter RD
Practice City
North Rose
Practice State
NY
Practice ZIP Code
14516-9708
Practice Country
US
Practice Phone
(315) 587-4005
Enumeration Date
August 22, 2022
Last Updated
January 16, 2025
Sex
Female
Sole Proprietor
No
Certification Date
January 16, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)