Individual provider · Type 1 NPI

Crystal Joy

Medical Physician Assistant · Southampton, NY

NPI number 1033517800 Active

Practice location

240 Meeting House Ln
Southampton, NY 11968-5009

Mailing address

PO Box 955
Port Jefferson Station, NY 11776-0808

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X018236 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1033517800

Crystal Joy's National Provider Identifier is 1033517800, issued on Dec 10, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southampton, NY. The record was last updated on Dec 10, 2014.