Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 023997 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 023997 | OH |
NPI | 1710532692 |
---|---|
Provider Name | Alyson Leigh Cragle |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14618-5647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2019 |
Last Update Date | 05/09/2020 |