Individual
CRYSTAL GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
225 W 34TH ST STE 408, NEW YORK, NY 10122-0400
(212) 237-3012
Mailing address
4129 24TH ST APT 4D, LONG ISLAND CITY, NY 11101-4061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
011028
NY
152W00000X
Optometrist
35268
CA
Other
Enumeration date
07/14/2022
Last updated
11/26/2024
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