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1386331700
CRYSTAL VANN
PORT JEFFERSON STATION, NY
NPI
1386331700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 404900)
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
CRYSTAL VANN NP
118 N COUNTRY RD
PORT JEFFERSON STATION, NY 11777-2120
Phone number: 631-751-3000
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Mailing Address
CRYSTAL VANN NP
1 RESEARCH RD
RIDGE, NY 11961-2701
Phone number:
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