Individual
CRYSTAL LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 86TH ST, BROOKLYN, NY 11214-4310
(718) 996-9800
Mailing address
179 GRAND ST, APT 4E, NEW YORK, NY 10013-3762
(917) 662-2311
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0086631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02910649
—
NY
Enumeration date
10/18/2007
Last updated
10/18/2007
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