Individual
MISS CRYSTAL LYNN POLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
888 8TH AVE, 6R, NEW YORK, NY 10019-5704
(917) 623-1018
Mailing address
888 8TH AVE, 6R, NEW YORK, NY 10019-5704
(917) 623-1018
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430404-1
NY
Other
Enumeration date
07/05/2008
Last updated
05/16/2013
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