Organization
CRYSTAL RAY MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA ADELMAN (BILLING DEPARTMENT)
(718) 743-7090
Entity
Organization
Contact information
Practice address
9614 63RD DR, SUITE 200, REGO PARK, NY 11374-2239
(718) 896-0111
(718) 896-2161
Mailing address
9614 63RD DR, SUITE 200, REGO PARK, NY 11374-2239
(718) 896-0111
(718) 896-2161
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/17/2007
Last updated
04/24/2015
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