Individual
CRAIG MARK PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
31 SIXTH STREET, MALONE, NY 12953
(518) 483-3261
Mailing address
31 SIXTH STREET, PO BOX 608, MALONE, NY 12953
(518) 483-3261
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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