Individual
CRYSTAL VANESSA ANTOINE PEPELJUGOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HSC LEVEL 16 020, DEPARTMENT OF MEDICINE SUNY STONY BROOK, STONY BROOK, NY 11794-8160
(631) 444-7411
(631) 444-2493
Mailing address
2 THOMAS PL, VALHALLA, NY 10595-1630
(516) 581-9035
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
286443
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2013
Last updated
04/10/2020
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