Individual
DR. CRAIG ALAN EMBLIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 IRONGATE CENTER, GLENS FALLS, NY 12801-3471
(518) 793-4409
(518) 793-5886
Mailing address
3 IRONGATE CENTER, GLENS FALLS, NY 12801-3471
(518) 793-4409
(518) 793-5886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
131760
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000053973
GHI-HMO
NY
01
—
00020626501
UNIVERA
NY
01
—
000401107001
BLUE SHIELD WNY
NY
01
—
0022159
GHI
NY
05
—
00417565
—
NY
01
—
021200700170
FIDELIS
NY
01
—
08170
MVP
NY
01
—
10000575
CDPHP
NY
01
—
10502264
CAQH
NY
01
—
28D701
BLUE CROSS BLUE SHIELD
NY
01
—
5155216
AETNA
NY
01
—
CD1981
RAILROAD MEDICARE GROUP #
—
01
—
NY0023466
TRICARE
NY
Enumeration date
11/16/2005
Last updated
02/13/2008
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