Individual
DR. CRAIG W RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
380 COUNTY RTE 51, MALONE, NY 12953-4504
(518) 483-0109
(518) 483-0115
Mailing address
380 COUNTY RTE 51, MALONE, NY 12953-4504
(518) 483-0109
(518) 483-0115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
213152
NY
207R00000X
Internal Medicine Physician
Primary
213152-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01955586
—
NY
05
—
01995615
—
NY
01
—
BB7507
ALICE HYDE MEDICAL CENTER
NY
01
—
RA8810
FRANKLIN COUNTY NURSING H
NY
Enumeration date
12/08/2005
Last updated
03/11/2014
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