Organization
CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAL DAVID TEITELBAUM MD, JD, MBA (MANAGING PARTNER & CEO)
(845) 703-6999
Entity
Organization
Contact information
Practice address
807 STATE ROUTE 17M, MONROE, NY 10950-2625
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NY
Other
Enumeration date
11/03/2017
Last updated
01/04/2018
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