Charles, Crystal

Charles, Crystal is an sole proprietor health care provider with primary practice located at 134-15 228Th Street Apt 1 , Laurelton NY 11413. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Charles, Crystal can be contacted via phone (516) 578-2944.

Contact Information

Primary practice address
134-15 228Th Street Apt 1 Laurelton NY 11413
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1114302205
LBN Legal business name Charles, Crystal
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2015
Last updated Jul 30th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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