Individual
KENYA CRAFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
162 COLONIAL AVE, FREEPORT, NY 11520-1205
(516) 557-6719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
344497
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
344497
NY
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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