Individual
CRYSTAL M MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE # MSC67, BROOKLYN, NY 11203-2012
(718) 270-2025
Mailing address
450 CLARKSON AVE # MSC67, BROOKLYN, NY 11203-2012
(718) 270-2025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63564
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2015
Last updated
10/09/2019
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