Individual
KRYSTALMARIE GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 17TH ST APT 3E, NEW YORK, NY 10011-5809
(917) 805-4487
Mailing address
400 W 17TH ST APT 3E, NEW YORK, NY 10011-5809
(917) 805-4487
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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