Provider Demographics
NPI:1508352576
Name:CRAWFORD, DEANNA (EMT-B)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CORFU
Mailing Address - State:NY
Mailing Address - Zip Code:14036-9657
Mailing Address - Country:US
Mailing Address - Phone:716-310-3083
Mailing Address - Fax:
Practice Address - Street 1:1795 GENESEE ST
Practice Address - Street 2:
Practice Address - City:CORFU
Practice Address - State:NY
Practice Address - Zip Code:14036-9657
Practice Address - Country:US
Practice Address - Phone:716-310-3083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health