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
Fax: (914) 244-3596
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689644973 NPPES
New York MEDICAID 01719126

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