Katelyn M Crowley, MD | |
99 Hudson St Fl 5, New York, NY 10013-2993 | |
(734) 276-1928 | |
Not Available |
Full Name | Katelyn M Crowley |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 99 Hudson St Fl 5, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285197954 | NPI | - | NPPES |
319261 | Other | NY | LICENSE |
XC2174768 | Other | NY | X WAIVER |
72697 | Other | CT | LICENSE |
Entity Name | Prospect Waterbury Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477902641 PECOS PAC ID: 4688967581 Enrollment ID: O20161004000255 |
Mailing Address | Practice Location Address |
---|---|
Katelyn M Crowley, MD 99 Hudson St Fl 5, New York, NY 10013-2993 Ph: (716) 322-9896 | Katelyn M Crowley, MD 99 Hudson St Fl 5, New York, NY 10013-2993 Ph: (734) 276-1928 |
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