Provider Demographics
NPI:1780639534
Name:DAVID F. CRYNS, D.O., OB /GYN
Entity Type:Organization
Organization Name:DAVID F. CRYNS, D.O., OB /GYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:CRYNS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:518-785-6565
Mailing Address - Street 1:713 TROY SCHENECTADY RD
Mailing Address - Street 2:SUITE 131
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2490
Mailing Address - Country:US
Mailing Address - Phone:518-785-6565
Mailing Address - Fax:518-785-6222
Practice Address - Street 1:713 TROY SCHENECTADY RD
Practice Address - Street 2:SUITE 131
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2490
Practice Address - Country:US
Practice Address - Phone:518-785-6565
Practice Address - Fax:518-785-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0297Medicare ID - Type UnspecifiedGROUP MEDICARE #