CRYSTAL KIMBERLY SANTOSA

FLUSHING, NY
NPI1972053601
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  020151)
Enumeration Date2016-10-05
Last Update Date2016-10-05
Business Address
-- CRYSTAL KIMBERLY SANTOSA
13620 38TH AVE STE 7D
FLUSHING, NY 11354-4232
Phone number: 718-539-2506
Mailing Address
-- CRYSTAL KIMBERLY SANTOSA
420 W 42ND ST APT 19D
NEW YORK, NY 10036-6846
Phone number: 646-266-3107
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