NPI 1497293989

Craig Irby

Practitioner Dietary Manager Bay Shore, NY

Practice location

Address: 1212 Saxon Ave, Bay Shore, NY 11706-5847
Phone: (631) 671-3809

Registered specialties

Dietary Manager Primary

Dietary & Nutritional Service Providers Taxonomy 132700000X

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Registry record

NPI: 1497293989
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2017
Record last updated: 8 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.