Provider Demographics
NPI:1003383969
Name:CROWE, MEGHAN E (ATC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:E
Last Name:CROWE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WHITE GATE DR APT H
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-5077
Mailing Address - Country:US
Mailing Address - Phone:518-524-6959
Mailing Address - Fax:
Practice Address - Street 1:15 CRAIGSIDE DR
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-1813
Practice Address - Country:US
Practice Address - Phone:518-524-6959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0033482255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer