Healthcare Provider Details

I. General information

NPI: 1992221048
Provider Name (Legal Business Name): CRAIG WILLIAM HANAUER LPC, LCAT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2017
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 W 22ND ST APT 6Y
NEW YORK NY
10011-2747
US

IV. Provider business mailing address

235 W 22ND ST APT 6Y
NEW YORK NY
10011-2747
US

V. Phone/Fax

Practice location:
  • Phone: 917-881-3713
  • Fax:
Mailing address:
  • Phone: 917-881-3713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZA2600X
TaxonomyMedical Art Specialist/Technologist
License Number000218-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC013133
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: