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1710453816
CRYSTAL L ISLAM
SYRACUSE, NY
NPI
1710453816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022847)
Enumeration Date
2018-10-17
Last Update Date
2019-02-28
Business Address
CRYSTAL L ISLAM PA-C
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-3494
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Mailing Address
CRYSTAL L ISLAM PA-C
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-3494
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