Individual
KRYSTAL L CLEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467
(718) 920-6054
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6054
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
273039
NY
207RP1001X
Pulmonary Disease Physician
Primary
273039
NY
Other
Enumeration date
03/27/2012
Last updated
05/14/2018
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