Healthcare Provider Details

I. General information

NPI: 1316032899
Provider Name (Legal Business Name): CHRISTOPHER H. CRANE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

530 E 74TH ST FL 4
NEW YORK NY
10021-3459
US

V. Phone/Fax

Practice location:
  • Phone: 347-266-9757
  • Fax:
Mailing address:
  • Phone: 832-969-6196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberK9045
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number282388-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: