Individual
CRYSTAL LEE LAIKHRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DUFFY AVE, HICKSVILLE, NY 11801-3636
(631) 600-3029
Mailing address
1266 OLMSTEAD AVE APT 4B, BRONX, NY 10462-4620
(646) 548-7127
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NY
171M00000X
Case Manager/Care Coordinator
Primary
122719
NY
Other
Enumeration date
01/11/2024
Last updated
08/04/2025
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