Organization
OWEN MCCRUDDEN DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OWEN JAMES MCCRUDDEN DPM (PODIATRIST)
(516) 496-0900
Entity
Organization
Contact information
Practice address
8029 JERICHO TPKE, WOODBURY, NY 11797
(516) 496-0900
(516) 496-0901
Mailing address
8029 JERICHO TPKE, WOODBURY, NY 11797
(516) 496-0900
(516) 496-0901
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5928-1
NY
Other
Enumeration date
02/14/2007
Last updated
12/03/2008
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