National Provider Identifier

Brandon Marquis Crayon

Brandon Marquis Crayon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Stanley, NY and a listed phone number of (585) 905-8516.

NPI 1750049565Stanley, NYLicensed Practical Nurse

Profile Overview

NPI
1750049565
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 30, 2021
Last Updated
November 30, 2021

Practice Location

  • 3419 County Road 20
  • Stanley, NY 14561-9522

Phone: (585) 905-8516

Mailing Address

  • 310 Angelus Dr
  • Rochester, NY 14622-3110

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1750049565
Entity Type
Individual
Last Name
Crayon
First Name
Brandon
Middle Name
Marquis
Name Prefix
Mr.
Mailing Street Address
310 Angelus Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14622-3110
Mailing Country
US
Mailing Phone
(585) 694-2225
Practice Street Address
3419 County Road 20
Practice City
Stanley
Practice State
NY
Practice ZIP Code
14561-9522
Practice Country
US
Practice Phone
(585) 905-8516
Enumeration Date
November 30, 2021
Last Updated
November 30, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
November 30, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)