Individual
MISS CRYSTAL EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
418 E 76TH ST APT 4A, NEW YORK, NY 10021-3117
(917) 776-9371
Mailing address
418 E 76TH ST APT 4A, NEW YORK, NY 10021-3117
(917) 776-9371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62027445
NY
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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