Individual
ANTOINE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 LINCOLN RD, PATCHOGUE, NY 11772-1728
(631) 506-9257
Mailing address
PO BOX 362, SOUTHAMPTON, NY 11969-0362
(631) 506-9257
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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