Individual
CRYSTAL BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 761-9800
Mailing address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 761-9800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109833-01
NY
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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