Healthcare Provider Details

I. General information

NPI: 1295836898
Provider Name (Legal Business Name): CRESTWOOD HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26A PICOTTE DR
ALBANY NY
12208-1710
US

IV. Provider business mailing address

26A PICOTTE DR
ALBANY NY
12208-1710
US

V. Phone/Fax

Practice location:
  • Phone: 518-435-2315
  • Fax: 518-435-2323
Mailing address:
  • Phone: 518-435-2315
  • Fax: 518-435-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JAGAT J. PATEL
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 518-435-2315