Individual
KENNETH CRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 JERICHO TPKE, NEW HYDE PARK, NY 11040-4713
(516) 620-9510
(516) 620-9512
Mailing address
1510 JERICHO TPKE, NEW HYDE PARK, NY 11040-4713
(516) 620-9510
(516) 620-9512
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
152721
NY
Other
Enumeration date
03/14/2006
Last updated
11/19/2010
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