Individual
MR. CRAIG IRBY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 SAXON AVE, BAY SHORE, NY 11706-5847
(631) 671-3809
Mailing address
1212 SAXON AVE, BAY SHORE, NY 11706-5847
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
NY
Other
Enumeration date
02/06/2017
Last updated
02/08/2017
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