Crystal Charles

NPI #1114302205 in Laurelton, New York

Provider Information

NPI Number
1114302205
Entity Type
Individual
Name
Crystal Charles
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Jul 30, 2015
Last Updated
Jul 30, 2015

Practice Location

Address
134-15 228TH STREET APT 1
ZIP Code
11413
Phone
(516) 578-2944

Specialties & Taxonomy Codes

Specialty
Specialist

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