Owen James Mccrudden, DPM Valid NPI

Individual provider · Foot Surgery Podiatrist · Woodbury, NY

NPI

1285641886

Type

Individual (Type 1)

Primary specialty

Foot Surgery Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213ES0131X

License number

005928-1 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-03

Last updated

2008-12-03