Individual
CHRYSTAL MARIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BI COUNTY BLVD, FARMINGDALE, NY 11735-3988
(718) 264-1640
Mailing address
5918 57TH ST APT 2R, MASPETH, NY 11378-3127
(516) 508-1782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2701013
NY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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