MEDICARE: CRYSTAL MCGEOWN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	018407	NY

General Provider Information

NPI Number	:	1003207994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL MCGEOWN PA-C

Provider Business Mailing Address
First Line	:	65 W 36TH ST FL 11
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-7936
Country	:	US
Telephone Number	:	888-803-3370
Fax Number	:	888-803-3331

Provider Business Practice Location Address
First Line	:	65 W 36TH ST FL 11
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-7936
Country	:	US
Telephone Number	:	888-803-3370
Fax Number	:	888-803-3331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	04/20/2026

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Directions to “ CRYSTAL MCGEOWN PA-C” Practice Location

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