MEDICARE: SKYLAR R CRYSLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist		NY

General Provider Information

NPI Number	:	1518759547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYLAR R CRYSLER

Provider Business Mailing Address
First Line	:	1275 STATE ROUTE 5 LOT 134
Second Line	:
City	:	ELBRIDGE
State	:	NY
Zip	:	13060-9672
Country	:	US
Telephone Number	:	315-572-7438
Fax Number	:

Provider Business Practice Location Address
First Line	:	7864 HICKS RD
Second Line	:
City	:	BALDWINSVILLE
State	:	NY
Zip	:	13027-9464
Country	:	US
Telephone Number	:	315-638-6127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2025
Last Update Date	:	12/03/2025

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Directions to “ SKYLAR R CRYSLER ” Practice Location

Language	Start Address	Practice Location

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