Individual
CRYSTAL EDGEWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 ADAM CLAYTON POWELL JR BLVD APT 1B, NEW YORK, NY 10030-2555
(917) 848-7514
Mailing address
2322 ADAM CLAYTON POWELL JR BLVD APT 1B, NEW YORK, NY 10030-2555
(917) 848-7514
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030129-01
NY
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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