Crystal Kimberly Santosa

NPI #1972053601 in Flushing, New York

Provider Information

NPI Number: 1972053601
Entity Type: Individual
Name: Crystal Kimberly Santosa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 13620 38TH AVE STE 7D
City: Flushing
State: New York
ZIP Code: 11354-4232
Phone: (718) 539-2506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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