| NPI | 1295877116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN JAMES MCCRUDDEN Podiatrist 516-496-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 5928-1) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-12-03 |