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NPI 1316224975

NPI 1316224975 : EDWARD S. CRANE, M.D., P.C. : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1316224975
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    Entity Type          |    Organization 
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    Legal Business Name  |    EDWARD S. CRANE, M.D., P.C. 
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Dates
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    Enumeration Date     |    11/10/2011
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    Last Update Date     |    11/10/2011
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Provider Practice Location Address
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    Address Line         |    152 E 73RD ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-4362
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    Country              |    US
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    Telephone            |    212-472-1100
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    Fax                  |    212-861-1014
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Provider Business Mailing Address
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    Address Line         |    152 E 73RD ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10021-4362
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    Country              |    US
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    Telephone            |    212-472-1100
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    Fax                  |    212-861-1014
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. EDWARD S. CRANE 
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    Credential           |    M.D.
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    Telephone            |    212-472-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    098897
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    License Number State |    NY
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