Green, Crystal Nicole

Green, Crystal Nicole is an individual health care provider with primary practice located at 998 Crooked Hill Rd , Brentwood NY 11717-1019. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Green, Crystal Nicole can be contacted via phone (631) 761-2672.

Contact Information

Primary practice address
998 Crooked Hill Rd Brentwood NY 11717-1019
Phone: (631) 761-2672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 6028841 New York

Profile Details

NPI number 1437620093
LBN Legal business name Green, Crystal Nicole
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2018
Last updated Dec 7th, 2018 - about 6 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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