Individual
CRYSTAL OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5820
Mailing address
3419 14TH AVE APT 1B, BROOKLYN, NY 11218-3719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013706
NY
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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