Individual
CRYSTAL ANN MARQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23214 MERRICK BLVD, LAURELTON, NY 11413-2115
(718) 528-3432
Mailing address
145-40 GUY R BREWER BLVD, JAMAICA, NY 11434
(239) 645-5948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
740567
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
740567
OTHER
NY
Enumeration date
11/02/2017
Last updated
11/02/2017
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