Cruz, Crystal

Cruz, Crystal is an sole proprietor health care provider with primary practice located at 38 Pantigo Rd , East Hampton NY 11937-2604. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Cruz, Crystal can be contacted via phone (631) 324-8587.

Contact Information

Primary practice address
38 Pantigo Rd East Hampton NY 11937-2604
Phone: (631) 324-8587
Fax: (631) 324-2720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 053833 New York

Profile Details

NPI number 1295067569
LBN Legal business name Cruz, Crystal
Credentials PHARM D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2010
Last updated May 1st, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295067569 NPPES
New York MEDICAID 01284546

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