Crystal Mcintosh

NPI #1518294529 in Roosevelt, New York

Provider Information

NPI Number: 1518294529
Entity Type: Individual
Name: Crystal Mcintosh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Nov 11, 2009
Last Updated: Mar 25, 2016

Practice Location

Address: 199 ELMWOOD AVE
City: Roosevelt
State: New York
ZIP Code: 11575-1809
Phone: (516) 377-6304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Registered Nurse	163W00000X	Primary

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