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Individual

CRYSTAL PERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2455 UNION BLVD APT 1A, ISLIP, NY 11751-3146
(516) 850-3414
Mailing address
2455 UNION BLVD APT 1A, ISLIP, NY 11751-3146
(516) 850-3414

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
355114-01
NY

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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