Provider Demographics
NPI:1144546979
Name:CRAWFORD, CANDACE M (NMT, MT-BC)
Entity type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:M
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:NMT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12014 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-2040
Mailing Address - Country:US
Mailing Address - Phone:718-323-9181
Mailing Address - Fax:
Practice Address - Street 1:12014 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-2040
Practice Address - Country:US
Practice Address - Phone:718-323-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist