Individual
DR. CRYSTAL LYNN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12056 224TH ST, CAMBRIA HEIGHTS, NY 11411-2141
(718) 506-8746
Mailing address
12056 224TH ST, CAMBRIA HEIGHTS, NY 11411-2141
(718) 506-8746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226745
NY
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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