Organization
CRYSTAL HEALTH SOLUTIONS NEW YORK LLC
Active
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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