Individual
KRYSTAL DANIELLE AIROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 EDMUND D PELLEGRINO RD, STONY BROOK, NY 11794-8160
(631) 638-1000
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-7411
(631) 444-2493
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
291822
NY
Other
Enumeration date
04/04/2013
Last updated
01/02/2020
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