Most Relevant Information
Provider Data
| NPI Number: | 1003655523 |
| Provider Name: | CRYSTAL RAZACK |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 331515 |
Most Important Dates
| Enumeration Date: | 05/23/2024 |
| Last Updated: | 05/23/2024 |
Provider Practice Location
89 BARTLETT ST
BROOKLYN
NY
112064463
Practice Location Phone/Fax
| Phone: | 7188282666 |
| Fax: |
Provider Mailing Location
89 BARTLETT ST
BROOKLYN
NY
112064463
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |