Crowell, Judith

Crowell, Judith is an individual health care provider with primary practice located at Suny Putnam Hall Rm 103 , Stony Brook NY 11794-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Crowell, Judith can be contacted via phone (631) 632-8850.

Contact Information

Primary practice address
Suny Putnam Hall Rm 103 Stony Brook NY 11794-0001
Phone: (631) 632-8850
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 171910 New York

Profile Details

NPI number 1912947557
LBN Legal business name Crowell, Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 7th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912947557 NPPES
New York MEDICAID 01042295

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