Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kraig Amundsen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043706229

Mr. Kraig Amundsen is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

77 Chicago Ave
Staten Island, NY 10305-3757
Phone: (718) 442-7828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043706229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESJuly 10, 2018
Mailing address77 Chicago Ave, Staten Island, NY 10305-3795

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