Individual
DR. KATHLEEN M. CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3 HEMPHILL PL, SUITE 114, MALTA, NY 12020-4419
(518) 899-0003
(518) 899-0123
Mailing address
3 HEMPHILL PL, SUITE 114, MALTA, NY 12020-4419
(518) 899-0003
(518) 899-0123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5427
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400071697
MEDICARE PTAN
NY
Enumeration date
01/10/2007
Last updated
10/08/2012
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