MISS SARA M CRYSTAL (NPI# 1376811976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376811976 |
| Entity Type | Individual |
| Full Name | MISS SARA M CRYSTAL |
| Credential | N.P. |
| Practice Address |
515 Main St Olean NY 14760-1513 |
| Mailing Address |
88 Auckland St #3 Dorchester MA 02125-3327 |
| Practice Telephone | 7163732600 |
| Mailing Telephone | 6174590279 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
F430630-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407366073 | Sara Crystal | Occupational Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2017-10-09 |
| 1992996110 | Sara C Crystal | Psychiatry & Neurology | 30 E 76th St, 2nd Floor, New York, NY 10021-2700 | 2007-08-05 |
| Street Address |
515 MAIN ST |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273715 | Christopher T Mallavarapu | Internal Medicine | 515 Main St, Olean, NY 14760-1513 | 2005-05-23 |
| 1306463724 | Danielle Barkhouse | Dietitian, Registered | 515 Main St, Olean, NY 14760-1513 | 2020-07-01 |
| 1255957320 | Cathy Ann Wells | Nurse Practitioner | 515 Main St, Olean, NY 14760-1598 | 2020-06-24 |
| 1700426418 | Olean General Hospital | Psychiatric Unit | 515 Main St, Olean, NY 14760-1513 | 2020-01-10 |
| 1932748407 | Cailyn E Hobson | Occupational Therapist | 515 Main St, Olean, NY 14760-1598 | 2020-01-02 |
| 1003479916 | Kristen Lynn Paler | Speech-Language Pathologist | 515 Main St, Olean, NY 14760-1598 | 2019-04-16 |
| 1831653005 | Lilleigh Stein | Nurse Anesthetist, Certified Registered | 515 Main St, Olean, NY 14760-1513 | 2019-01-22 |
| 1427530039 | Danielle Marie Decasper | Occupational Therapy Assistant | 515 Main St, Olean, NY 14760-1513 | 2018-08-30 |
| 1700371838 | Ashley Nicole Hanchett | Physician Assistant | 515 Main St, Olean, NY 14760-1513 | 2018-07-01 |
| 1003303405 | Jad Dughayli | Anesthesiology | 515 Main St, Olean, NY 14760-1513 | 2018-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
| Find all providers in zip 14760 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669975 | Fereshta Azizy | Nurse Practitioner | 1806 Parsons Blvd, Whitestone, NY 11357-3042 | 2020-11-03 |
| 1598365579 | Emily Rose Fitzpatrick | Nurse Practitioner | 530 1st Ave # Hcc12, New York, NY 10016-6402 | 2020-10-28 |
| 1467069583 | Ma Teresa Justine V Balboa | Nurse Practitioner | 19 Low Ln, Levittown, NY 11756-4511 | 2020-09-24 |
| 1588270151 | Cynthia Li | Nurse Practitioner | 5312 80th St, Elmhurst, NY 11373-4732 | 2020-09-19 |
| 1356956312 | Maria Nagel | Nurse Practitioner | 350 E 30th St Apt 1b, New York, NY 10016-8307 | 2020-09-15 |
| 1699389817 | John Paul Talmadge Cagigas | Nurse Practitioner | 402 N Indiana Ave, Lindenhurst, NY 11757-3423 | 2020-09-04 |
| 1891308615 | Peter Marusca | Nurse Practitioner | 4610 61st St Apt 14a, Woodside, NY 11377-5731 | 2020-08-31 |
| 1760095269 | Elizabeth Meder Demas | Nurse Practitioner | 141 Ridge St Apt A, New York, NY 10002-1804 | 2020-08-25 |
| 1093328593 | Melissa Moulton | Nurse Practitioner | 204 E 77th St Apt 2d, New York, NY 10075-2107 | 2020-08-25 |
| 1942819636 | Ruby Judith Maloco Garzon | Nurse Practitioner | 222 Peters Ave, East Meadow, NY 11554-1525 | 2020-07-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.