Organization
DEVON CRAFT DO PC
Active
Other names
Craft Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON CRAFT DO (OWNER/PHYSICIAN)
(845) 901-1072
Entity
Organization
Contact information
Practice address
38 N MAIN ST, ELLENVILLE, NY 12428-1017
(845) 647-5430
Mailing address
38 N MAIN ST, ELLENVILLE, NY 12428-1017
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05274704
—
NY
Enumeration date
03/16/2019
Last updated
03/16/2019
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