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Individual

DR. GAZELLE JEAN CRASTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, PHD

Contact information

Practice address
333 GLEN HEAD RD STE 170, GLEN HEAD, NY 11545-1935
(516) 484-4741
Mailing address
333 GLEN HEAD RD STE 170, GLEN HEAD, NY 11545-1935
(516) 484-4741

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
064187-01
NY

Other

Enumeration date
06/30/2020
Last updated
07/10/2025
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