Healthcare Provider Details

I. General information

NPI: 1194790527
Provider Name (Legal Business Name): CRAIG MICHAEL ZELIG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 MYRTLE AVE STE 200
ALBANY NY
12208-3835
US

IV. Provider business mailing address

391 MYRTLE AVE STE 200
ALBANY NY
12208-3835
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-4942
  • Fax:
Mailing address:
  • Phone: 518-262-4942
  • Fax: 518-262-6904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number277061-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: