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Contact Information

BRENDA L CROWDER
1 HOSPITAL DR
MASSENA, NY13662
 Phone: 315-764-1711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRENDA L CROWDER · (Female)

NPI # 1174013197
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2018
Last updated 08/21/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 022534
Hospital affiliation(s)
  • MASSENA MEMORIAL HOSPITAL - (Acute Care)
    1 HOSPITAL DRIVE
    MASSENA, NY 13662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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