Dr. Owen James McCrudden, DPM
in Woodbury, NY. Individual provider (NPI-1).
NPI number1285641886
StatusActive
Last updated in NPPESDec 3, 2008
Details
- NPI
- 1285641886
- Entity type
- Individual (NPI-1)
- Name
- Dr. Owen James McCrudden
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2006
- Last updated
- Dec 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0131X | 005928-1 | NY | Yes |
Practice location
8029 Jericho TpkeWoodbury, NY 11797
Phone 516-496-0900 · Fax 516-496-0901
Mailing address
8029 Jericho TpkeWoodbury, NY 11797
Phone 516-496-0900 · Fax 516-496-0901
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