Individual
CRYSTAL ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21916 ALECIA AVE, LAURELTON, NY 11413-2950
(917) 515-5101
Mailing address
21916 ALECIA AVE, LAURELTON, NY 11413-2950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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