Individual
DR. ALICJA MCCRUDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
523 TOWNLINE RD STE 11, HAUPPAUGE, NY 11788-2827
(631) 265-4442
Mailing address
11045 QUEENS BLVD, APT. #101, FOREST HILLS, NY 11375-5501
(631) 793-6169
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
050823
NY
Other
Enumeration date
08/15/2006
Last updated
08/27/2008
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