Individual
CRYSTAL BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6424 18TH AVE FL 2, BROOKLYN, NY 11204-3729
(347) 856-1912
Mailing address
6424 18TH AVE FL 2, BROOKLYN, NY 11204-3729
(347) 856-1912
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
355046
NY
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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