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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL BROADHEAD

Active Sole Proprietor

CRYSTAL BROADHEAD is a Licensed Practical Nurse healthcare provider located in NEW YORK, New York. NPI 1639640501 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · NEW YORK, NY

Registration Details

NPI Number
1639640501
Provider Type
Individual
Gender
Female
NPI Issued
Dec 17, 2018 (7.6619557212615 yrs)
Last Updated
Dec 17, 2018
Licenses
303542 (NY)
303542-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
110 W 97TH ST
NEW YORK, NY, 100256450
Browse NY providers · Browse ZIP 10025
Phone
2127491820
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in NEW YORK, NY

Name Credential NPI
FARHANA KHUNDKAR M.D 1427081462
SYLVIA DOBIS 1255364360
NINA OHAKAM 1518990506
LYNANNE BELLIS 1295751733
SABRINA BROWN 1629094164
RUTH AVERY 1922024447
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.