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Individual
CRAIG TITLE
Active
Individual
CRAIG TITLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
210190
NY
Other
Enumeration date
07/05/2006
Last updated
04/18/2008
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