Individual provider · Type 1 NPI

Jack Crowley

Student in an Organized Health Care Education/Training Program · Watertown, NY

NPI number 1124960463 Active

Practice location

830 Washington St
Watertown, NY 13601-4034

Call (315) 779-5244 Map

Mailing address

19 Morningside Park
Rochester, NY 14607-3015

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124960463

Jack Crowley's National Provider Identifier is 1124960463, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Watertown, NY. The record was last updated on Apr 7, 2026.