Individual
MR. DESMOND LEON CROSSWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 MAPLE AVE, ROCKVILLE CENTRE, NY 11570-4274
(516) 536-2221
Mailing address
30 YATES ST, WEST BABYLON, NY 11704-1923
(631) 994-0676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030991
NY
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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