| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | CRAIG GAZELLE ADRIENNE DO · Gazelle Adrienne Craig | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Gazelle | [sources] | |||
| ID Number | 00252279 | [sources] | |||
| Last name | Craig | [sources] | |||
| Middle name | Adrienne | [sources] | |||
| NPI | 1730346826 | [sources] | |||
| Registration number | 20 A 14722 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 9232 Holland Ave., Apt. C, Rockaway Beach, NY, 11693 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
us-medca-b23a0c33b7a9e9a23fec22461c82f8850da9dab9 · us-medny-e46d2910b1eb555c01de7f42336711094802d9c1For experts: raw data explorer
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.
| United States | Department of Health Care Services | - | - |