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Individual

DR. ROBERT A CRAFTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711
Mailing address
1201 NOTT ST, SUITE 106, SCHENECTADY, NY 12308-2589
(518) 374-3123
(518) 374-9711

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
122742-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000084078
GHI HMO
01
000405056001
BLUE SHIELD NENY
01
000405056003
BLUE SHIELD NENY
05
00392838
NY
01
040426006648
FIDELIS
01
05103
MVP
01
10000408
CDPHP
01
110160500
US DEPT OF LABOR
01
122742-1
TRICARE NORTH REGION
01
33570M
FIDELIS MEDICARE
01
3Y761
EMPIRE BLUE CROSS
01
5301141
GHI
01
AN1227420
WORKERS COMP
01
B80761
AMERICAN PROGRESSIVE TODA
01
RC03Y76110
EMPIRE BLUE CROSS
01
RC03Y76120
EMPIRE BLUE CROSS
Enumeration date
08/02/2005
Last updated
11/10/2010
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