Organization
CRYSTAL HEALTH SOLUTIONS NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MOENCH (MEMBER MANAGER)
(801) 631-3570
Entity
Organization
Contact information
Practice address
477 FDR DR APT M507, NEW YORK, NY 10002-4291
(801) 631-3570
Mailing address
721 N MAIN ST # 220, LAYTON, UT 84041-2231
(801) 631-3570
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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