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NPI Code Detail

MEDICARE: DR. ALIKA L CREW D.M.D

MEDICARE: DR. ALIKA L CREW D.M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry009683CT

General Provider Information

NPI Number : 1609915354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALIKA L CREW D.M.D
Provider Business Mailing Address
First Line : 1081 HOPE ST
Second Line :
City : STAMFORD
State : CT
Zip : 06907-1824
Country : US
Telephone Number : 203-329-2033
Fax Number : 203-329-1256
Provider Business Practice Location Address
First Line : 1081 HOPE ST
Second Line :
City : STAMFORD
State : CT
Zip : 06907-1824
Country : US
Telephone Number : 203-329-2033
Fax Number : 203-329-1256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 01/26/2017

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