Crystal, Jonathan Jay

Crystal, Jonathan Jay is an individual health care provider with primary practice located at 45 Reade Pl Vassar Brothers Medical Center, Poughkeepsie NY 12601-3947. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Crystal, Jonathan Jay can be contacted via phone (845) 454-4700.

Contact Information

Primary practice address
45 Reade Pl Vassar Brothers Medical Center Poughkeepsie NY 12601-3947
Phone: (845) 454-4700
Fax: (845) 454-4982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 214347-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 214347-1 New York

Profile Details

NPI number 1497753933
LBN Legal business name Crystal, Jonathan Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jan 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497753933 NPPES
New York MEDICAID 01973835

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