Organization
CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Active
Organization
CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNINE SWEENEY CPCS (ASST. DIRECTOR, PROVIDER RESOURCES)
(845) 796-5507
Entity
Organization
Contact information
Practice address
745 STATE ROUTE 17M, MONROE, NY 10950-2660
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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