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Search › New York › 207Q00000X

Michelle Craddock, ANP

NPI 1013182112 · on the registry since 2008 · sole proprietor

Practice

Address
625 Belle Terre Rd
Suite 119 Port Jefferson Medical Assoc
Port Jefferson, NY 11777
Phone
(631) 642-0609
Fax
(631) 642-0588
Organisation at this address
North Suffolk Surgical Assoc
John T Mather Memorial Hospital
Long Island Laparoscopic Surgery,P.L.L.C.
New York Robotic And Laparoscopic Surgery Pc
Advanced Laparoscopic Bariatric And General Surgery
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York