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Individual

DR. DAVID G CRUICKSHANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
117 HAMPTON RD, SOUTHAMPTON, NY 11968-4923
(631) 287-8600
(631) 204-1585
Mailing address
PO BOX 2608, SOUTHAMPTON, NY 11969-2608
(631) 287-8600
(631) 204-1585

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1090901
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00434895
NY
Enumeration date
06/05/2006
Last updated
01/05/2011
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