Organization
CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A SPENCER MD (CHIEF MEDICAL OFFICER)
(845) 703-6999
Entity
Organization
Contact information
Practice address
2 CENTEROCK RD, WEST NYACK, NY 10994-2215
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NY
Other
Enumeration date
07/11/2016
Last updated
10/05/2023
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