Individual
DR. CRAIG WILLIAM SCANNEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 PATCHOGUE YAPHANK RD, SUITE 3, EAST PATCHOGUE, NY 11772-4800
(631) 475-7680
(631) 475-7683
Mailing address
43 BAYVIEW AVE, BLUE POINT, NY 11715-1710
(631) 803-2956
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
239635
NY
Other
Enumeration date
06/01/2006
Last updated
08/21/2012
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