Crystal Medical Care,p.c.

NPI #1689972317 in Woodside, New York

Provider Information

NPI Number: 1689972317
Entity Type: Organization
Organization Name: Crystal Medical Care,p.c.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 3, 2011
Last Updated: Apr 25, 2017

Practice Location

Address: 6914 41ST AVE
Address 2: STE C1
City: Woodside
State: New York
ZIP Code: 11377-4028
Phone: (718) 803-6300

Authorized Official

Name: DR. VISHWANATH VALAGEREHALLY PUTTASWAMYGOWDA, M.D.,
Title: PRESIDENT
Phone: (718) 803-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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