Organization · NPI-2

Crystal Run Healthcare Physicians LLP

General Practice · Middletown, NY

NPI number1952376410
StatusActive
Last updated in NPPESOct 5, 2023

Details

NPI
1952376410
Entity type
Organization (NPI-2)
Legal business name
Crystal Run Healthcare Physicians LLP
Organization subpart
No
Enumeration date
Feb 20, 2006
Certification date
Oct 5, 2023
Last updated
Oct 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice–NYYes
207RC0000X Internal Medicine, Cardiovascular Disease–NY
207K00000X Allergy & Immunology–NY
207P00000X Emergency Medicine–NY
207Q00000X Family Medicine–NY
207R00000X Internal Medicine–NY
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology–NY
207RC0200X Internal Medicine, Critical Care Medicine–NY
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism–NY
207RG0100X Internal Medicine, Gastroenterology–NY
207RG0300X Internal Medicine, Geriatric Medicine–NY
207RH0003X Internal Medicine, Hematology & Oncology–NY
207RI0011X Internal Medicine, Interventional Cardiology–NY
207RI0200X Internal Medicine, Infectious Disease–NY
207RM1200X Internal Medicine, Magnetic Resonance Imaging (MRI)–NY

Practice location

155 Crystal Run Rd
Middletown, NY 10941-4028

Phone 845-703-6999 · Fax 845-703-6297

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028

Phone 845-703-6999 · Fax 845-703-6297

Authorized official

Gregory A Spencer
Chief Medical Officer
8457036999

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