Provider Demographics
NPI:1336113968
Name:CROWE, DAVID
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:CROWE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 LEXINGTON AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3632
Mailing Address - Country:US
Mailing Address - Phone:914-960-0756
Mailing Address - Fax:914-864-1443
Practice Address - Street 1:666 LEXINGTON AVE STE 111
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3632
Practice Address - Country:US
Practice Address - Phone:914-960-0756
Practice Address - Fax:914-864-1443
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2021552080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02094640Medicaid
NY02094640Medicaid
NY02094640Medicaid