MEDICARE: DANIEL LIONEL CRANE M.D.

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
1	2084P0800X	Psychiatry Physician	118453	NY

General Provider Information

NPI Number	:	1396892204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL LIONEL CRANE M.D.

Provider Business Mailing Address
First Line	:	130 E 18TH ST
Second Line	:	SUITE 1T
City	:	NEW YORK
State	:	NY
Zip	:	10003-2416
Country	:	US
Telephone Number	:	212-473-7798
Fax Number	:	212-529-7216

Provider Business Practice Location Address
First Line	:	130 E 18TH ST
Second Line	:	SUITE 1T
City	:	NEW YORK
State	:	NY
Zip	:	10003-2416
Country	:	US
Telephone Number	:	212-473-7798
Fax Number	:	212-529-7216

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	05/09/2008

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