# CRYSTAL RUN HEALTHCARE LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467121004
- **Authorized official:** HAL DAVID TEITELBAUM MD (GENERAL PARTNER)
- **Authorized official phone:** (845) 703-6999

## Contact information

- **Practice address:** 155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4057
- **Practice address phone:** (845) 703-6999
- **Practice address fax:** (845) 703-6297
- **Mailing address:** 155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4057
- **Mailing address phone:** (845) 703-6999
- **Mailing address fax:** (845) 703-6297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 09/08/2021