Individual
CRYSTAL PEGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 E 19TH ST, APT D4, BROOKLYN, NY 11226-4470
(347) 278-2154
Mailing address
50 E 19TH ST, APT D4, BROOKLYN, NY 11226-4470
(347) 278-2154
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
556878
NY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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