CRYSTAL JOY

SOUTHAMPTON, NY
NPI1033517800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  018236)
Enumeration Date2014-12-10
Last Update Date2014-12-10
Business Address
-- CRYSTAL JOY
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968-5009
Phone number: 631-726-8476
Mailing Address
-- CRYSTAL JOY
PO BOX 955
PORT JEFFERSON STATION, NY 11776-0808
Phone number:
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