Individual
JONATHAN JAY CRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 READE PL, VASSAR BROTHERS MEDICAL CENTER, POUGHKEEPSIE, NY 12601-3947
(845) 454-4700
(845) 454-4982
Mailing address
2678 SOUTH RD STE 202, POUGHKEEPSIE, NY 12601-5254
(845) 790-5700
(845) 790-5719
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
214347-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
214347-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01973835
—
NY
Enumeration date
07/08/2005
Last updated
12/17/2025
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