Crytzer, Jacqueline Anne

Crytzer, Jacqueline Anne is an individual health care provider with primary practice located at 271 Jefferson Dr , Mastic Beach NY 11951-2723. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Crytzer, Jacqueline Anne can be contacted via phone (631) 742-3865.

Contact Information

Primary practice address
271 Jefferson Dr Mastic Beach NY 11951-2723
Phone: (631) 742-3865
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Massachusetts

Profile Details

NPI number 1902860430
LBN Legal business name Crytzer, Jacqueline Anne
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 17 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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