Individual
RAFFERTY CRAIG SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3153
(607) 547-6539
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 547-3153
(607) 547-6539
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
53204
ID
Other
Enumeration date
10/28/2010
Last updated
02/09/2017
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