| Crystal Nevins, NURSE PRACTITIONER | |
|
7 Nydia Ct, Yaphank, NY 11980-9500 | |
| (631) 820-2100 | |
| Not Available |
| Full Name | Crystal Nevins |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 7 Nydia Ct, Yaphank, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801047469 | NPI | - | NPPES |
| 602969-1 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 346466 (New York) | Primary |
| Entity Name | Ion Oltean Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912236811 PECOS PAC ID: 6406990860 Enrollment ID: O20100223000519 |
| Entity Name | Preferred Professional Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083916670 PECOS PAC ID: 9739359027 Enrollment ID: O20110824000026 |
| Entity Name | Positive Change Psychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265821953 PECOS PAC ID: 7517285455 Enrollment ID: O20150406001187 |
| Entity Name | Michael Bishai Md, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730609827 PECOS PAC ID: 1153693254 Enrollment ID: O20170824001735 |
| Entity Name | Renew Medical Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356979447 PECOS PAC ID: 7416387014 Enrollment ID: O20200422003016 |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Nevins, NURSE PRACTITIONER 7 Nydia Ct, Yaphank, NY 11980-9500 Ph: (631) 820-2100 | Crystal Nevins, NURSE PRACTITIONER 7 Nydia Ct, Yaphank, NY 11980-9500 Ph: (631) 820-2100 |