# CRYSTAL ROYAL CARE

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

## Provider details

- **NPI number:** 1477370468
- **Authorized official:** MS. LUSTY BINEY (MANAGER)
- **Authorized official phone:** (717) 813-7999

## Contact information

- **Practice address:** 128 NORTH DR, STATEN ISLAND, NY 10305-5108
- **Practice address phone:** (717) 813-7999
- **Mailing address:** 128 NORTH DR, STATEN ISLAND, NY 10305-5108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024