CRYSTA SONG

STATEN ISLAND, NY
NPI1336773225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  031286)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: CA  29098)
235Z00000X Speech-Language Pathologist,
(Licence: NJ  41YS01132900)
Enumeration Date2020-02-28
Last Update Date2022-10-08
Business Address
CRYSTA SONG
212 GARRETSON AVE
STATEN ISLAND, NY 10305-1234
Phone number: 718-980-5000
Mailing Address
CRYSTA SONG
212 GARRETSON AVE
STATEN ISLAND, NY 10305-1234
Phone number: