Individual
CRYSTINA FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91 STREET WOODHAVEN, RICHMOND HILL, NY 11421
(718) 722-6190
Mailing address
20531 114TH DR, JAMAICA, NY 11412-2927
(804) 970-9561
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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