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NPI Profile for OWEN MCCRUDDEN DPM PC in WOODBURY, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1295877116 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/14/2007 | |
| Last updated | 12/03/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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OWEN MCCRUDDEN DPM, PC
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OWEN MCCRUDDEN DPM, PC