John Harrison Krystal | West Haven, CT • PECOS Search

John Harrison Krystal

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

950 Campbell Ave, 151d, West Haven, CT 06516-2770

(203) 937-4790 (203) 393-2604

PECOS Enrollment

Based on the most recent information from CMS, provider John Harrison Krystal does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1336226240
Provider Type
Individual
Full Name
Krystal, John Harrison
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/1/2006
Last Updated
8/21/2019

Contact Information

Practice Location

950 Campbell Ave, 151d, West Haven, CT 06516-2770

(203) 937-3468

Mailing Location

119 Maplevale Dr, Woodbridge, CT 06525-1142

(203) 393-1086

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 027473 Connecticut