NPI 1629909833

Krystal Woodruff

Practitioner Peer Specialist Lyons, NY

Practice location

Address: 1519 Nye Rd, Lyons, NY 14489-9133
Phone: (607) 379-3405

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1629909833
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2026
Record last updated: 27 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.