Individual ProviderCrystal S. RaymondNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2054(718) 245-3131PECOS EnrollmentBased on the most recent information from CMS, provider Crystal S. Raymond does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770163156Provider TypeIndividualFull NameRaymond, Crystal S.GenderFemaleSole ProprietorNoEnumeration Date4/10/2021Last Updated10/8/2021Contact InformationPractice LocationPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2054Phone(718) 245-3131FaxUnlisted FaxMailing LocationMailing Address451 Clarkson Ave, Brooklyn, NY 11203-2054PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF347008-01New York