Individual
CRYSTAL M BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 ROUTE 25A, SMITHTOWN, NY 11787-1626
(631) 627-5139
Mailing address
89211 CIRCLE DR, CENTRAL ISLIP, NY 11722-5217
(631) 627-5139
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340064
NY
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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