Provider Demographics
NPI:1750566873
Name:CRAIG LINDER MD PC
Entity type:Organization
Organization Name:CRAIG LINDER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPC
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALLBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:576-616-4982
Mailing Address - Street 1:514 OCEAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-4605
Mailing Address - Country:US
Mailing Address - Phone:516-799-2554
Mailing Address - Fax:516-799-4570
Practice Address - Street 1:514 OCEAN AVENUE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4605
Practice Address - Country:US
Practice Address - Phone:516-799-2554
Practice Address - Fax:516-799-4570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
302F00000X
NY157466207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No302F00000XManaged Care OrganizationsExclusive Provider OrganizationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEW991Medicare PIN