Montgomery, Craig T
Montgomery, Craig T is an individual health care provider with primary practice located at 739 Irving Ave Ste 600 , Syracuse NY 13210-1663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Montgomery, Craig T can be contacted via phone (315) 701-2550.Contact Information
Primary practice address
739 Irving Ave Ste 600
Syracuse NY 13210-1663
Phone: (315) 701-2550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 210249 | New York |
Profile Details
| NPI number | 1578564662 |
|---|---|
| LBN Legal business name | Montgomery, Craig T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | May 1st, 2023 - about last year |
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 | 1578564662 | NPPES |
| New York | MEDICAID | 01895789 |
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