Individual
CRYSTAL ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1244 65TH ST, BROOKLYN, NY 11219-5614
(646) 951-5532
Mailing address
1244 65TH ST, BROOKLYN, NY 11219-5614
(646) 951-5532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
717551
NY
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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