Individual
MR. CRAIG J NIEDERBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1850 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1513
(631) 851-1183
(631) 851-1193
Mailing address
1850 VETERANS MEMORIAL HWY, ISLANDIA, NY 11749-1513
(631) 851-1183
(631) 851-1193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
710862119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02365011
—
NY
Enumeration date
09/19/2008
Last updated
09/19/2008
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