Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Run Medical Services PC

Organization Internal Medicine Physician · NPI 1104921139

Crystal Run Medical Services PC is an Internal Medicine Physician in Middletown, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

236 Crystal Run Rd Ste 2
Middletown, NY 10941-4009
Phone: (845) 692-3100
Fax: (845) 692-2402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1104921139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Basri — Owner · (845) 692-3100
NPI enumeratedSeptember 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address236 Crystal Run Rd, Suite 2, Middletown, NY 10941-4009

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