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Individual

CRAIG TITLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 W 57TH ST, SUITE 401, NEW YORK, NY 10019-3211
(212) 581-9532
Mailing address
200 W 57TH ST, SUITE 401, NEW YORK, NY 10019-3211
(212) 581-9532

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
210190
NY

Other

Enumeration date
07/05/2006
Last updated
04/18/2008
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