Individual
MRS. BEVERLY KRISTINE CRISOLOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 8TH AVE FL 6, NEW YORK, NY 10018-3158
(718) 391-8300
Mailing address
9428 57TH AVE # 3F, ELMHURST, NY 11373-5147
(646) 255-9224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
869336
NY
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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