Provider Demographics
NPI:1568580496
Name:SILLICK, CRAIG DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:DANIEL
Last Name:SILLICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 278980
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-341-7685
Mailing Address - Fax:585-341-4220
Practice Address - Street 1:300 RED CREEK DR
Practice Address - Street 2:STE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-4283
Practice Address - Country:US
Practice Address - Phone:585-487-2221
Practice Address - Fax:585-334-8732
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2023-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY258262207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine