CRYSTAL WELLS

BAY SHORE, NY
NPI1770009326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F308248)
Enumeration Date2017-08-16
Last Update Date2017-08-16
Business Address
CRYSTAL WELLS NP-C
39 BRENTWOOD RD
BAY SHORE, NY 11706-8031
Phone number: 631-591-7400
Mailing Address
CRYSTAL WELLS NP-C
1424 6TH ST
WEST BABYLON, NY 11704-4522
Phone number:
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