Crystal A John MSW

NPI 1104083146 - Counselor - 101YM0800X

NPI Details
NPI 1104083146
Gender Female
Enumeration Date 05/19/2008
Last Updated 05/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
9729 64TH RD
REGO PARK NY, 11374-2240, US
Phone (718) 896-3400
Fax (718) 459-5621
Business Location
17224 133RD AVE APT 2G
JAMAICA NY, 11434-3901, US
Phone (718) 949-7233
Fax (718) 626-0690
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Crystal A John MSW NPI is 1104083146, taxonomy code is 101YM0800X Crystal A John MSW physically located at 9729 64th Rd, Rego Park NY, 11374-2240. NPI Number Crystal A John MSW has the Individual type.

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1104083146 NPI number is provided on an as is basis without warranty of any kind. 1104083146 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal A John MSW are for informational purposes only.