Provider Demographics
NPI:1134120140
Name:CRAFTS, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:CRAFTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1201 NOTT ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-2589
Mailing Address - Country:US
Mailing Address - Phone:518-374-3123
Mailing Address - Fax:518-374-9711
Practice Address - Street 1:1201 NOTT ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2589
Practice Address - Country:US
Practice Address - Phone:518-374-3123
Practice Address - Fax:518-374-9711
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2010-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY122742-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B80761OtherAMERICAN PROGRESSIVE TODA
33570MOtherFIDELIS MEDICARE
RC03Y76120OtherEMPIRE BLUE CROSS
000000084078OtherGHI HMO
AN1227420OtherWORKERS COMP
3Y761OtherEMPIRE BLUE CROSS
10000408OtherCDPHP
122742-1OtherTRICARE NORTH REGION
000405056003OtherBLUE SHIELD NENY
040426006648OtherFIDELIS
05103OtherMVP
110160500OtherUS DEPT OF LABOR
5301141OtherGHI
000405056001OtherBLUE SHIELD NENY
NY00392838Medicaid
AN1227420OtherNO FAULT
RC03Y76110OtherEMPIRE BLUE CROSS
RC03Y76110OtherEMPIRE BLUE CROSS
3Y761OtherEMPIRE BLUE CROSS
110160500OtherUS DEPT OF LABOR