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CRYSTAL RUN HEALTHCARE PHYSICIANS LLP

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Company Details

Name: CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Active
Date of registration: 24 Aug 2017 (8 years ago)
Entity Number: 5191715
ZIP code: 10005
County: Blank
Place of Formation: New York
Address: 28 LIBERTY STREET, NEW YORK, NY, United States, 10005
Principal Address: 95 CRYSTAL RUN ROAD, MIDDLETOWN, NY, United States, 10941

Contact Details

Phone +1 845-856-5339

Phone +1 845-651-6999

Phone +1 845-703-6000

Phone +1 845-615-6899

Phone +1 845-561-0990

Phone +1 845-692-2200

Phone +1 845-703-9999

Phone +1 845-354-7957

Phone +1 845-795-5333

Phone +1 212-249-0622

Phone +1 212-249-5707

Phone +1 845-703-6999

DOS Process Agent

Name Role Address
C/O C T CORPORATION SYSTEM DOS Process Agent 28 LIBERTY STREET, NEW YORK, NY, United States, 10005

Unique Entity ID

Unique Entity ID:
LY8AWC5CLR86
CAGE Code:
79TD3
UEI Expiration Date:
2025-11-04

Business Information

Doing Business As:
CRYSTAL RUN HEALTHCARE PHYSICIANS LLP
Division Name:
CRYSTAL RUN HEALTHCARE PHYSICIANS, LLP
Activation Date:
2024-11-05
Initial Registration Date:
2014-11-20

Commercial and government entity program

CAGE number:
79TD3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-05
CAGE Expiration:
2029-11-05
SAM Expiration:
2025-11-04

Contact Information

POC:
SCOTT HINES
Corporate URL:
www.crystalrunhealthcare.com

National Provider Identifier

NPI Number:
1801362801

Authorized Person:

Name:
THERESA DOLSON
Role:
DIRECTOR OF PHARMACY
Phone:

Taxonomy:

Selected Taxonomy:
261QX0200X - Oncology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8457965803

History

Start date End date Type Value
2023-02-22 2023-07-05 Address 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process)
2017-08-24 2023-02-22 Address 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230705004911 2023-07-05 CERTIFICATE OF AMENDMENT 2023-07-05
230222000877 2023-02-22 FIVE YEAR STATEMENT 2022-07-02
171109000483 2017-11-09 CERTIFICATE OF PUBLICATION 2017-11-09
171026000272 2017-10-26 CERTIFICATE OF AMENDMENT 2017-10-26
170824000209 2017-08-24 NOTICE OF REGISTRATION 2017-08-24

USAspending Awards / Contracts

Procurement Instrument Identifier:
2023H422P00009
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
5000.00
Base And Exercised Options Value:
5000.00
Base And All Options Value:
5000.00
Awarding Agency Name:
Department of the Treasury
Performance Start Date:
2021-11-12
Description:
OCCUPATIONAL HEALTH SERVICES FOR USM-WP
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
TMWP17P0024
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
1200.00
Base And Exercised Options Value:
1200.00
Base And All Options Value:
1200.00
Awarding Agency Name:
Department of the Treasury
Performance Start Date:
2017-09-01
Description:
IGF::OT::IGF EMPLOYEE PHYSICALS, EKGS AND PRE SCREENINGS
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
TMWP16P0020
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
4550.00
Base And Exercised Options Value:
4550.00
Base And All Options Value:
4550.00
Awarding Agency Name:
Department of the Treasury
Performance Start Date:
2016-07-06
Description:
FY16 - NEW EMPLOYEE PHYSICALS IGF::OT::IGF
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State