# CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC

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

## Provider details

- **NPI number:** 1922230853
- **Authorized official:** DAVID ORTIZ (ADMINISTRATOR)
- **Authorized official phone:** (845) 703-3800

## Contact information

- **Practice address:** 95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
- **Practice address phone:** (845) 703-6999
- **Practice address fax:** (845) 703-6297
- **Mailing address:** 95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
- **Mailing address phone:** (845) 703-6999
- **Mailing address fax:** (845) 703-6297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 08/11/2009
- **Last updated:** 02/17/2025