Individual
CRYSTAL OCCHIOGROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 ALBANY AVE, WESTBURY, NY 11590-4203
(516) 295-2444
Mailing address
36 ALBANY AVE, WESTBURY, NY 11590-4203
(516) 295-2444
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3180401
NY
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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