Individual
CRYSTAL HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3925 BELL BLVD, BAYSIDE, NY 11361-2060
(718) 279-2020
(718) 279-3702
Mailing address
851 FANWOOD AVE, VALLEY STREAM, NY 11581-3101
(516) 728-0712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
270A00668500
NJ
152W00000X
Optometrist
OEG002932
PA
152W00000X
Optometrist
Primary
TUV008121
NY
Other
Enumeration date
06/24/2014
Last updated
04/07/2023
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