Crystal Medical Care,P.C.

LBN: Crystal Medical Care,P.C.
Crystal Medical Care,P.C. is an health care organization with primary practice located at 6914 41St Ave Ste C1, Woodside NY 11377-4028. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Crystal Medical Care,P.C. can be contacted via phone (718) 803-6300, or through Puttaswamygowda, Vishwanath Valagerehally via phone (718) 803-6300.

Contact Information

Primary practice address
6914 41St Ave Ste C1 Woodside NY 11377-4028
Phone: (718) 803-6300
Fax: (718) 803-2434
Website:
Map and Directions
Authorized official contact:
Name: Puttaswamygowda, Vishwanath Valagerehally Doctor of Medicine (MD)
Phone: (718) 803-6300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223041 New York

Profile Details

NPI number 1689972317
LBN Legal business name Crystal Medical Care,P.C.
DBA Doing business as
Authorized official Puttaswamygowda, Vishwanath Valagerehally Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2011
Last updated Apr 25th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689972317 NPPES
New York MEDICAID 03260455

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