Individual
CRYSTAL SIMONE CANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASACT
Contact information
Practice address
148 BAY ST, SUITE 2, STATEN ISLAND, NY 10301-2503
(718) 981-7861
(718) 981-6852
Mailing address
148 BAY ST, STATEN ISLAND, NY 10301-2503
(718) 981-7861
(718) 981-6852
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
18011
NY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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