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Individual

DR. ADOM CREW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5155
Mailing address
210 W 21ST ST APT 1FW, NEW YORK, NY 10011-3474

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054926-1
NY

Other

Enumeration date
08/31/2010
Last updated
08/31/2010
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