OWEN MCCRUDDEN DPM, PC; NPI #1295877116

Contact Information

OWEN MCCRUDDEN DPM, PC

8029 JERICHO TPKE
WOODBURY, NY 11797

Phone: 516-496-0900
Fax: 516-496-0901
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for OWEN MCCRUDDEN DPM, PC

NPI # 1295877116

LBN Legal business name OWEN MCCRUDDEN DPM, PC

Authorized official OWEN MCCRUDDEN - (PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/14/2007

Last updated 12/03/2008 - About 18 years ago

Identifiers

License #

5928-1

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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OWEN MCCRUDDEN DPM, PC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for OWEN MCCRUDDEN DPM, PC

Reviews for OWEN MCCRUDDEN DPM, PC