Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Crysta Song

Individual provider Speech-Language Pathologist · NPI 1336773225

Crysta Song is a Speech-Language Pathologist in Staten Island, New York. Licensed in California, New Jersey and New York. Registered with an NPI since 2020.

Licensed in
CA, NJ, NY
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

212 Garretson Ave
Staten Island, NY 10305-1234
Phone: (718) 980-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 031286 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 29098 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 41YS01132900 (NJ)

Record details

NPI number1336773225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2020
Last updated in NPPESOctober 8, 2022
Certification dateOctober 8, 2022

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