Healthcare Provider Details

I. General information

NPI: 1043781313
Provider Name (Legal Business Name): JANET TAYLOR CRAFT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 12/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MURRAY HILL DR
MOUNT MORRIS NY
14510-1153
US

IV. Provider business mailing address

4600 MILLENNIUM DR
GENESEO NY
14454-1197
US

V. Phone/Fax

Practice location:
  • Phone: 585-243-7250
  • Fax:
Mailing address:
  • Phone: 585-243-7250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0321291
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: