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NPI Code Detail

MEDICARE: MR. JAMES PATRICK CRAWFORD P.T.

MEDICARE: MR. JAMES PATRICK CRAWFORD P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist010161-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19306623OTHERNYINDEPENDENT HEALTH
200027448701OTHERNYUNIVERA HEALTH CARE
3000611257004OTHERNYBLUE CROSS & BLUE SHIELD
4804260OTHERNYMANAGED PHYSICAL NETWORK

General Provider Information

NPI Number : 1245297043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES PATRICK CRAWFORD P.T.
Provider Business Mailing Address
First Line : 235 HIGHLAND PKWY
Second Line :
City : TONAWANDA
State : NY
Zip : 14223-1407
Country : US
Telephone Number : 716-873-7263
Fax Number : 716-873-7290
Provider Business Practice Location Address
First Line : 235 HIGHLAND PKWY
Second Line :
City : TONAWANDA
State : NY
Zip : 14223-1407
Country : US
Telephone Number : 716-873-7263
Fax Number : 716-873-7290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 03/03/2021

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