Healthcare Provider Details

I. General information

NPI: 1255305066
Provider Name (Legal Business Name): CRAIG ARTHUR RITCHIE NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 STATE ROUTE 146
ALTAMONT NY
12009-4418
US

IV. Provider business mailing address

PO BOX 3203
SCHENECTADY NY
12303-0203
US

V. Phone/Fax

Practice location:
  • Phone: 518-346-3100
  • Fax: 877-583-1284
Mailing address:
  • Phone: 518-346-3100
  • Fax: 877-583-1284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberF3039241
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: