Individual
CRYSTI MINCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
152 E 118TH ST APT S1, NEW YORK, NY 10035-4084
(929) 867-1784
Mailing address
16004 CROSSBAY BLVD STE 225, HOWARD BEACH, NY 11414-3407
(929) 867-1784
(574) 406-7610
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
309358
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
309358
NY
Other
Enumeration date
12/08/2019
Last updated
08/05/2024
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