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CRYSTAL ALLEY MSED
NPI 1205225489
Specialist in Lackawanna, NY

Active since January 12, 2015
790 RIDGE RD, LACKAWANNA, NY 14218(716) 822-4781 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Alley Msed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL ALLEY MSED (NPI 1205225489) is an individual specialist in Lackawanna, New York and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1205225489
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCRYSTAL ALLEYCredential: MSED
Location Address790 RIDGE RDLackawanna, NY 14218-1629
Mailing Address801 S Huth RdCheektowaga, NY 14225-1722 · (315) 657-5706
Phone(716) 822-4781
Sole ProprietorNo
Enumeration DateJanuary 12, 2015
✔ NPI 1205225489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
790 RIDGE RD, Lackawanna, NY 14218
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ASHLEY M KRUPSKI
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9334
BIRGIT RUDY SERVICE COORDINATOR
Case Manager/Care Coordinator
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-7544
JESSICA DIETEMAN LMHC
Counselor (Mental Health)
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9651
MRS. MELANIE FETZER RDH
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9348
GEORGE MILLER
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-7535
MS. ANDREA L SELLAN RDH
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9334
DENEEN M GARLOCK FAMILY PEER SUPPORT
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 364-7015
BAKER VICTORY SERVICES
Community Based Residential Treatment Facility, Mental Illness
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Alley's NPI number?

The NPI number for Crystal Alley is 1205225489. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Where is Crystal Alley located?

Crystal Alley practices at 790 Ridge Rd, Lackawanna, NY 14218. The listed phone number is (716) 822-4781.

What is Crystal Alley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Crystal Alley was last updated on January 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.