Organization
CRAIG J CAMPBELL DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG JOHN CAMPBELL DPM (OWNER)
(718) 981-5098
Entity
Organization
Contact information
Practice address
827 FOREST AVE, STATEN ISLAND, NY 10310
(718) 981-5098
(718) 981-6792
Mailing address
827 FOREST AVE, STATEN ISLAND, NY 10310-2410
(718) 981-5098
(718) 981-6792
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
N004711-1
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4417760001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01232493
—
NY
01
—
P53631
MEDICARE, OTHER
—
Enumeration date
03/18/2008
Last updated
07/27/2018
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