Individual provider · Type 1 NPI

Crystal Charles

Specialist · Laurelton, NY

NPI number 1114302205 Active

Practice location

134-15 228th Street Apt 1
Laurelton, NY 11413

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114302205

Crystal Charles's National Provider Identifier is 1114302205, issued on Jul 30, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Laurelton, NY. The record was last updated on Jul 30, 2015.