National Provider Identifier

Koko Karina Crocker

Koko Karina Crocker is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Lyons, NY and a listed phone number of (315) 946-5749.

NPI 1861042129Lyons, NYCase Manager/Care Coordinator

Profile Overview

NPI
1861042129
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
September 18, 2019
Last Updated
September 18, 2019

Practice Location

  • 1519 Nye RD Ste 200
  • Lyons, NY 14489-9112

Phone: (315) 946-5749

Specialties

  • Case Manager/Care Coordinator (171M00000X)

Endpoints

  • other

    Other Url | Lyons, NY 14489

Full Record
NPI
1861042129
Entity Type
Individual
Last Name
Crocker
First Name
Koko
Middle Name
Karina
Mailing Street Address
1519 Nye RD Ste 200
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489-9112
Mailing Country
US
Mailing Phone
(315) 946-5749
Practice Street Address
1519 Nye RD Ste 200
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9112
Practice Country
US
Practice Phone
(315) 946-5749
Enumeration Date
September 18, 2019
Last Updated
September 18, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)