MICHELLE CRADDOCK, ANP
Family Medicine
Active
Individual
NPI: 1013182112
Practice Address
625 BELLE TERRE RDSUITE 119 PORT JEFFERSON MEDICAL ASSOC
Port Jefferson, NY 11777
Phone: (631) 642-0609
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | F3325721 (NY) |
Frequently Asked Questions
NPI 1013182112 is the National Provider Identifier for MICHELLE CRADDOCK, ANP, a Family Medicine provider located in Port Jefferson, NY. This NPI was enumerated on April 29, 2008.
MICHELLE CRADDOCK, ANP practices at 625 BELLE TERRE RD, SUITE 119 PORT JEFFERSON MEDICAL ASSOC, Port Jefferson, NY 11777.
Quick Facts
- NPI
- 1013182112
- Type
- Individual
- Enumerated
- Apr 29, 2008
- Last Updated
- Apr 29, 2008
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