Ordway, Craig B

Ordway, Craig B is an sole proprietor health care provider with primary practice located at 40 Main St , Northport NY 11768-1722. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ordway, Craig B can be contacted via phone (631) 754-2663.

Contact Information

Primary practice address
40 Main St Northport NY 11768-1722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 129877 New York

Profile Details

NPI number 1063541472
LBN Legal business name Ordway, Craig B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Dec 6th, 2010 - about 15 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 1063541472 NPPES
New York MEDICAID 00-68330
New York Other 11-2572132

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