Individual
CRYSTAL COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2265 3RD AVE, BORIKEN NEIGHBORHOOD HEALTH CENTER, NEW YORK, NY 10035-2231
(212) 289-6650
(212) 360-5088
Mailing address
2265 3RD AVE, BORIKEN NEIGHBORHOOD HEALTH CENTER, NEW YORK, NY 10035-2231
(212) 289-6650
(212) 360-5088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091558
NY
104100000X
Social Worker
916659022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
1285628552
AGENCIES
NY
01
—
WVE061
MEDICARE #
NY
Enumeration date
07/21/2014
Last updated
03/09/2015
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