Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maryalice McCraith, MSSPREGEDTVI

Individual provider Specialist · NPI 1316209349

Maryalice McCraith, MSSPREGEDTVI is a Specialist in Rensselaer, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

9 Deer Run
Rensselaer, NY 12144-9734
Phone: (518) 369-1330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 12189 (NY)

Record details

NPI number1316209349
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSPREGEDTVI
Sole proprietorYes
NPI enumeratedJune 14, 2012
Last updated in NPPESJune 14, 2012

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