Individual
CRYSTAL CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(718) 377-5755
Mailing address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(718) 377-5755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130921
NY
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
01/29/2025
Last updated
03/17/2026
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