Individual
CRYSTAL L ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP/GNP
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
(718) 883-6295
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307517
NY
Other
Enumeration date
10/02/2015
Last updated
03/17/2018
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