CRYSTAL RAY MEDICAL P.C. NPI 1881819308

NPI Information

  • NPI: 1881819308
  • Provider Name: CRYSTAL RAY MEDICAL P.C.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 9614 63RD DR
    SUITE 200
    REGO PARK, NY
    ZIP 11374
  • Phone: (718) 896-0111

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NPI Details

CRYSTAL RAY MEDICAL P.C. is a neurology psychiatry neurology in Rego Park, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CRYSTAL RAY MEDICAL P.C. NPI is 1881819308. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9614 63RD DR
SUITE 200
REGO PARK, NY
ZIP 11374-239
Phone: (718) 896-0111
Fax: (718) 896-2161

The provider's authorized official is Marina Adelman .
The authorized official title is Billing Department and has the following contact phone number (718) 743-7090.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 4/24/2015.

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
1225100000XPhysical TherapistNo
22084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H33857MEDICARE UPINNEW YORK

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: 11/21/2025

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