Physician Compare National (NPI:1396758520)

HEALTHCARE PROVIDER: CRAIG GEOFFREY HURWITZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396758520
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729261144
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110323000182
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HURWITZ
	Individual professional last name
Provider First Name	CRAIG
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	NEPHROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	52 TOM MILLER RD
	Group Practice or individual's line 1 address
City	PLATTSBURGH
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	129011252
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5183244000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330250
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	330084
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ALICE HYDE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	331302
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ELIZABETHTOWN COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	330079
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ADIRONDACK MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y