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Individual

DR. MARTHA CROWNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
412 6TH AVE, SUITE 710, NEW YORK, NY 10011-8409
(212) 300-5608
(212) 300-5608
Mailing address
PO BOX 343, ORANGEBURG, NY 10962-0343
(212) 300-5608
(212) 300-5608

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
157354
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02300329
NY
Enumeration date
06/21/2006
Last updated
07/01/2011
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