Individual
DR. CRAIG MICHAEL FERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 S BEDFORD RD, SUITE 311, MOUNT KISCO, NY 10549-3441
(914) 244-3800
(914) 244-3596
Mailing address
105 S BEDFORD RD, SUITE 311, MOUNT KISCO, NY 10549-3441
(914) 244-3800
(914) 244-3596
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
178025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01719126
—
NY
Enumeration date
01/26/2006
Last updated
07/08/2007
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