Michelle Marilyn Craddock, ANP
NPI #1013182112 in Port Jefferson, New York
Provider Information
- NPI Number
- 1013182112
- Entity Type
- Individual
- Name
- Michelle Marilyn Craddock, ANP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- ANP
- Enumeration Date
- Apr 29, 2008
- Last Updated
- Apr 29, 2008
Practice Location
- Address
- 625 BELLE TERRE RD
- Address 2
- SUITE 119 PORT JEFFERSON MEDICAL ASSOC
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777
- Phone
- (631) 642-0609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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