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Contact Information

CRYSTAL S JO, LMFT
243 NASSAU BLVD SOUTH
GARDEN CITY, NY11530
 Phone: 862-294-3011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for CRYSTAL S JO · (Female)

NPI # 1841836871
Status Active
Credentials LMFT (Licensed Marriage and Family Therapist)
Entity Individual
Enumeration date 11/25/2019
Last updated 03/09/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 001724
  • NY License # P103756
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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