Individual
CRYSTAL JOANNE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 GRAND CONCOURSE APT 1A, BRONX, NY 10456-2750
(646) 548-8067
Mailing address
1220 GRAND CONCOURSE APT 1A, BRONX, NY 10456-2750
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
024326-1
NY
Other
Enumeration date
03/12/2011
Last updated
03/12/2011
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