Individual
CRYSTAL ANN GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNPPC-BC
Contact information
Practice address
110 E 59TH ST RM 8A, NEW YORK, NY 10022-1864
(212) 434-6160
Mailing address
333 BRONX RIVER RD APT 516, YONKERS, NY 10704-3449
(845) 521-6711
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312166
NY
363LG0600X
Gerontology Nurse Practitioner
F312166
NY
Other
Enumeration date
04/09/2025
Last updated
04/24/2025
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