Individual
MS. CRYSTAL CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 W 90TH ST, SUITE 12C, NEW YORK, NY 10024-1214
(212) 769-8737
Mailing address
175 W 90TH ST, SUITE 12C, NEW YORK, NY 10024-1214
(212) 769-8737
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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