Provider Demographics
NPI:1679755334
Name:BALDENHOFER, CRAIG ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ANDREW
Last Name:BALDENHOFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:338 BERRY ST APT 6A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-5250
Mailing Address - Country:US
Mailing Address - Phone:917-774-0071
Mailing Address - Fax:212-255-9801
Practice Address - Street 1:54 W 21ST ST
Practice Address - Street 2:RM 307
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7373
Practice Address - Country:US
Practice Address - Phone:212-255-9800
Practice Address - Fax:212-255-9801
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2022-01-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY254993-12086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery