Individual
JAY J. RAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4057
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065888
IL
2084P0800X
Psychiatry Physician
125065888
IL
2084P0800X
Psychiatry Physician
Primary
294236
NY
Other
Enumeration date
06/25/2014
Last updated
06/22/2018
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