IndividualActive
Crystal Tanzola
NPI 1669892030 · Licensed Vocational Nurse · Unadilla, NY
Provider details
- NPI number
- 1669892030
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1164WOOOOOX (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
95 Main St
Apt 4
Unadilla, NY 13849-3406
Phone: (631) 413-6770
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 851
Unadilla, NY 13849-0851
Registry dates
- Enumerated
- 2014-04-23
- Last updated
- 2014-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.