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CRYSTAL RUN HEALTHCARE PHYSICIANS LLP NPI 1053780403


NPI Information

NPI: 1053780403
Provider Name: CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 33D0141585

Address:
1200 ROUTE 300
NEWBURGH, NY
ZIP 12550
Phone: (845) 725-0100
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CRYSTAL RUN HEALTHCARE PHYSICIANS LLP is a durable medical equipment medical supplies in Newburgh, NY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CRYSTAL RUN HEALTHCARE PHYSICIANS LLP NPI is 1053780403. The provider is registered as an organization entity type.

The provider's business location address is:

1200 ROUTE 300
NEWBURGH, NY
ZIP 12550-003
Phone: (845) 725-0100
Fax: (845) 703-6297

The provider's authorized official is Gregory A Spencer .
The authorized official title is Chief Medical Officer and has the following contact phone number (845) 703-6999.

The CLIA number assigned to this NPI record is 33D0141585 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/16/2015 and was last updated on 10/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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