Clark, Crystal Lynn

Clark, Crystal Lynn is an individual health care provider with primary practice located at 12056 224Th St , Cambria Heights NY 11411-2141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Clark, Crystal Lynn can be contacted via phone (718) 506-8746.

Contact Information

Primary practice address
12056 224Th St Cambria Heights NY 11411-2141
Phone: (718) 506-8746
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 226745 New York

Profile Details

NPI number 1386112050
LBN Legal business name Clark, Crystal Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2018
Last updated Nov 11th, 2018 - about 8 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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