Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Crowley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124960463

Jack Crowley is a Student in an Organized Health Care Education/Training Program in Watertown, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

830 Washington St
Watertown, NY 13601-4034
Phone: (315) 779-5244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1124960463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address19 Morningside Park, Rochester, NY 14607-3015

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