Individual
MS. CRYSTAL JAIRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3230
Mailing address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012047
NY
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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