Individual
CRAIG PASSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8848
(718) 250-8850
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8848
(718) 250-8850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
196992
NY
207L00000X
Anesthesiology Physician
Primary
196992
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01828564
—
NY
Enumeration date
07/17/2006
Last updated
02/26/2024
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