Provider Demographics
NPI:1851308068
Name:RICHTER, CRAIG M (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:M
Last Name:RICHTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:148 EAST MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-265-8780
Mailing Address - Fax:631-257-5097
Practice Address - Street 1:148 EAST MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:631-265-8780
Practice Address - Fax:631-257-5097
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2016-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY198407207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY113640866OtherNORTHSHORE LIJ IPA
NY3382050006OtherCIGNA
NY5021720OtherAET
NY0499025OtherGHI
NY198407-A72OtherHEALTHFIRST
NY402B01OtherBLUECROSS
NY58876POtherHIP
NY89909OtherVYTRA
NY175106OtherUHC
NY198407SOtherHEALTHCARE PARTNERS
NY01717615Medicaid
NY2716256OtherAET
NY4C0328OtherHEALTHNET
NYP687110OtherOXFORD
NY3382050006OtherCIGNA
NY5021720OtherAET