Organization
CRYSTAL HEALTH CARE NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Active
Organization
CRYSTAL HEALTH CARE NURSE PRACTITIONER IN FAMILY HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOTUNDE D ADERIN NURSE PRACTITIONER (CEO)
(917) 653-0577
Entity
Organization
Contact information
Practice address
11410 MERRICK BLVD, JAMAICA, NY 11434-1335
(917) 653-0577
(516) 743-0323
Mailing address
1 WINTER LN, AMITYVILLE, NY 11701-1626
(917) 653-0577
(516) 743-0323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
11/21/2025
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