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NPI Code Detail

MEDICARE: CRAIG K MACLEAN DO

MEDICARE: CRAIG K MACLEAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician154802NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588667893
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG K MACLEAN DO
Provider Business Mailing Address
First Line : 3040 AMSDELL RD
Second Line :
City : HAMBURG
State : NY
Zip : 14075-5835
Country : US
Telephone Number : 716-646-6700
Fax Number : 716-646-8515
Provider Business Practice Location Address
First Line : 3040 AMSDELL RD
Second Line :
City : HAMBURG
State : NY
Zip : 14075-5835
Country : US
Telephone Number : 716-646-6700
Fax Number : 716-646-8515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/18/2011

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Directions to “ CRAIG K MACLEAN DO” Practice Location

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