Individual
GORDON CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8585
Mailing address
345 SAINT PAUL ST, BUNTING BUILDING, 7TH FLOOR, BALTIMORE, MD 21202-2123
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
315469-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
08/11/2022
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