Provider Demographics
NPI:1144009952
Name:CROWLEY, THOMAS JAMES (PHARMD RPH)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAMES
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MCLEAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2356
Mailing Address - Country:US
Mailing Address - Phone:914-265-7460
Mailing Address - Fax:917-265-7466
Practice Address - Street 1:8011 ELIOT AVE
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1400
Practice Address - Country:US
Practice Address - Phone:718-505-8192
Practice Address - Fax:718-505-8198
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI070804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist