Individual
CRYSTAL NEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
7 NYDIA CT, YAPHANK, NY 11980-9500
(631) 820-2100
Mailing address
7 NYDIA CT, YAPHANK, NY 11980-9500
(631) 820-2100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
346466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602969-1
—
NY
Enumeration date
10/01/2008
Last updated
08/24/2020
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