Healthcare Provider Details

I. General information

NPI: 1336113968
Provider Name (Legal Business Name): DR. DAVID CROWE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 10/27/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

666 LEXINGTON AVE STE 111
MOUNT KISCO NY
10549-3632
US

IV. Provider business mailing address

666 LEXINGTON AVE STE 111
MOUNT KISCO NY
10549-3632
US

V. Phone/Fax

Practice location:
  • Phone: 914-960-0756
  • Fax: 914-864-1443
Mailing address:
  • Phone: 914-960-0756
  • Fax: 914-864-1443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number202155
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: