Crystal Run Medical Services PC
NPI #1104921139 in Middletown, New York
Provider Information
- NPI Number
- 1104921139
- Entity Type
- Organization
- Organization Name
- Crystal Run Medical Services PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 236 CRYSTAL RUN RD
- Address 2
- SUITE 2
- City
- Middletown
- State
- New York
- ZIP Code
- 10941-4009
- Phone
- (845) 692-3100
Authorized Official
- Name
- RAYMOND S BASRI, MD
- Title
- OWNER
- Phone
- (845) 692-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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