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
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(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
207K00000X
Allergy & Immunology Physician
—
NY
207P00000X
Emergency Medicine Physician
—
NY
207Q00000X
Family Medicine Physician
—
NY
207R00000X
Internal Medicine Physician
—
NY
207RC0000X
Cardiovascular Disease Physician
—
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NY
207RG0100X
Gastroenterology Physician
—
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NY
207RH0003X
Hematology & Oncology Physician
—
NY
207RI0011X
Interventional Cardiology Physician
—
NY
207RI0200X
Infectious Disease Physician
—
NY
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
NY
208D00000X
General Practice Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02409709
—
NY
Enumeration date
02/20/2006
Last updated
10/05/2023
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