Individual
DEVON CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(718) 906-9475
Mailing address
2111 SOUTHERN BLVD APT 23B, BRONX, NY 10460-1448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22343
NY
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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