Individual
MISS CRYSTAL ALISSA GARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1097 E 95TH ST, BROOKLYN, NY 11236-3734
(718) 666-7775
Mailing address
1097 E 95TH ST, BROOKLYN, NY 11236-3734
(718) 666-7775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
666402-1
NY
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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