Provider Demographics
NPI:1316224975
Name:EDWARD S. CRANE, M.D., P.C.
Entity Type:Organization
Organization Name:EDWARD S. CRANE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-472-1100
Mailing Address - Street 1:152 E 73RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4362
Mailing Address - Country:US
Mailing Address - Phone:212-472-1100
Mailing Address - Fax:212-861-1014
Practice Address - Street 1:152 E 73RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4362
Practice Address - Country:US
Practice Address - Phone:212-472-1100
Practice Address - Fax:212-861-1014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098897174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1841245974OtherINDIVIDUAL NPI
NY1841245974OtherINDIVIDUAL NPI