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Organization

OWEN & KRAWCHENKO MD PC

Active
Parent organization
YES
Organization subpart
Yes

Provider details

NPI number
Legal business name
YES
Authorized official
MRS. CHRISTINE E CRUMP CCSP (HIPAA COMPLIANCE OFFICER)
(315) 782-2620
Entity
Organization

Contact information

Practice address
629 WASHINGTON ST, WATERTOWN, NY 13601-4035
(315) 782-2620
(315) 788-4980
Mailing address
1116 ARSENAL ST, SUITE #504, WATERTOWN, NY 13601-2229
(315) 782-2620
(315) 788-4980

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
01/09/2007
Last updated
07/08/2010
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