Moss, Craig N

Moss, Craig N is an individual health care provider with primary practice located at 360 Washington Ave , Kingston NY 12401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moss, Craig N can be contacted via phone (845) 338-7140.

Contact Information

Primary practice address
360 Washington Ave Kingston NY 12401
Fax: (845) 338-7141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 158234 New York

Profile Details

NPI number 1568414126
LBN Legal business name Moss, Craig N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 22nd, 2013 - about 11 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 1568414126 NPPES
New York MEDICAID 00833963

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