Fern, Craig Michael
Fern, Craig Michael is an sole proprietor health care provider with primary practice located at 105 S Bedford Rd Suite 311, Mount Kisco NY 10549-3441. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fern, Craig Michael can be contacted via phone (914) 244-3800.Contact Information
Primary practice address
105 S Bedford Rd Suite 311
Mount Kisco NY 10549-3441
Phone: (914) 244-3800
Fax: (914) 244-3596
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 178025 | New York |
Profile Details
NPI number | 1689644973 |
---|---|
LBN Legal business name | Fern, Craig Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 26th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689644973 | NPPES |
New York | MEDICAID | 01719126 |
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