# CRESTWOOD HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRESTWOOD HEALTH INC
- **Other names:** Crestwood Pharmacy - LTC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215448857
- **Legal business name:** CRESTWOOD HEALTH INC
- **Authorized official:** JAGAT J PATEL PHARMD (PRESIDENT)
- **Authorized official phone:** (518) 435-2315

## Contact information

- **Practice address:** 26 PICOTTE DR, ALBANY, NY 12208-1710
- **Practice address phone:** (518) 435-2315
- **Practice address fax:** (518) 435-2323
- **Mailing address:** 26 PICOTTE DR, ALBANY, NY 12208-1710
- **Mailing address phone:** (518) 435-2315
- **Mailing address fax:** (518) 435-2323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 026944 | NY | Yes |

## Other

- **Enumeration date:** 10/23/2017
- **Last updated:** 08/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02630459 | — | NY |