Individual provider · NPI-1

Kelsey Crocker

Genetic Counselor, MS · Great Neck, NY

NPI number1174357735
StatusActive
Last updated in NPPESAug 27, 2024

Details

NPI
1174357735
Entity type
Individual (NPI-1)
Name
Kelsey Crocker
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2024
Certification date
Aug 27, 2024
Last updated
Aug 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170300000X Genetic Counselor, MS––Yes

Practice location

225 Community Dr Rm 110
Great Neck, NY 11021-5506

Phone 516-918-4817

Mailing address

225 Community Dr Rm 110
Great Neck, NY 11021-5506

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