IndividualActive
Alicja Mccrudden, D.D.S
NPI 1164435434 · Periodontics · Hauppauge, NY
Provider details
- NPI number
- 1164435434
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- No
- License
- 050823 (NY)
Specialties & taxonomies
Dental Providers
Practice location
523 Townline Rd Ste 11
Hauppauge, NY 11788-2827
Phone: (631) 265-4442
Approximate (ZIP-level) locationGet directions
Mailing address
11045 Queens Blvd
Forest Hills, NY 11375-5501
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2008-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.