Provider Demographics
NPI:1255305066
Name:RITCHIE, CRAIG ARTHUR (NP)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:ARTHUR
Last Name:RITCHIE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3203
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-0203
Mailing Address - Country:US
Mailing Address - Phone:518-346-3100
Mailing Address - Fax:877-583-1284
Practice Address - Street 1:531 STATE ROUTE 146
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:NY
Practice Address - Zip Code:12009-4418
Practice Address - Country:US
Practice Address - Phone:518-346-3100
Practice Address - Fax:877-583-1284
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3039241174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02700278Medicaid
NYIA0994Medicare PIN
NYQ69848Medicare UPIN