Individual
KRYSTAL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
24108 140TH AVE, ROSEDALE, NY 11422-2022
(718) 949-0146
Mailing address
775 9TH AVE, NEW YORK, NY 10019-6336
(718) 949-0146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
288456
NY
Other
Enumeration date
01/30/2015
Last updated
10/05/2022
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