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NPI Code Detail

MEDICARE: CRYSTAL RUN HEALTHCARE PHYSICIANS LLP

MEDICARE: CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianNY
2207K00000XAllergy & Immunology PhysicianNY
3207P00000XEmergency Medicine PhysicianNY
4207Q00000XFamily Medicine PhysicianNY
5207R00000XInternal Medicine PhysicianNY
6207RC0001XClinical Cardiac Electrophysiology PhysicianNY
7207RC0200XCritical Care Medicine (Internal Medicine) PhysicianNY
8207RE0101XEndocrinology, Diabetes & Metabolism PhysicianNY
9207RG0100XGastroenterology PhysicianNY
10207RG0300XGeriatric Medicine (Internal Medicine) PhysicianNY
11207RH0003XHematology & Oncology PhysicianNY
12207RI0011XInterventional Cardiology PhysicianNY
13207RI0200XInfectious Disease PhysicianNY
14207RM1200XMagnetic Resonance Imaging (MRI) Internal Medicine PhysicianNY
15208D00000XGeneral Practice PhysicianNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952376410
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Provider Business Mailing Address
First Line : 155 CRYSTAL RUN RD
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10941-4028
Country : US
Telephone Number : 845-703-6999
Fax Number : 845-703-6297
Provider Business Practice Location Address
First Line : 155 CRYSTAL RUN RD
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10941-4028
Country : US
Telephone Number : 845-703-6999
Fax Number : 845-703-6297
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : GREGORY A SPENCER
Credential : MD
Telephone Number : 845-703-6999
Provider Enumeration Date : 02/20/2006
Last Update Date : 10/05/2023

Similar Medicare Providers

1003816604 — NANCY I. LINNEMAN MD
Practice Location Address:
155 CRYSTAL RUN RD
MIDDLETOWN, NY
10941-4028
Practice Phone: 845-703-6999
Practice Fax: 845-703-6297
1679573646 — ARTHUR TOLIS MD
Practice Location Address:
155 CRYSTAL RUN RD
MIDDLETOWN, NY
10941-4028
Practice Phone: 845-703-6999
Practice Fax: 845-703-6297
1194725168 — GREGORY A. SPENCER MD
Practice Location Address:
155 CRYSTAL RUN RD
MIDDLETOWN, NY
10941-4028
Practice Phone: 845-703-6999
Practice Fax: 845-703-6297
1285635912 — ROBERT E. DINSMORE MD
Practice Location Address:
155 CRYSTAL RUN RD
MIDDLETOWN, NY
10941-4028
Practice Phone: 845-703-6999
Practice Fax: 845-703-6297
1871594515 — ANN MARIE A BENTSI-ADDISON CNM
Practice Location Address:
155 CRYSTAL RUN RD
MIDDLETOWN, NY
10941-4028
Practice Phone: 845-703-6999
Practice Fax:
1790786432 — ERIC BARBANEL MD
Practice Location Address:
155 CRYSTAL RUN RD
MIDDLETOWN, NY
10941-4028
Practice Phone: 845-703-6999
Practice Fax: 845-703-6297
1033101951 — KATHERINE GRACE MCDONALD NP
Practice Location Address:
155 CRYSTAL RUN RD
MIDDLETOWN, NY
10941-4028
Practice Phone: 845-703-6999
Practice Fax: 845-703-6297

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