Provider Demographics
NPI:1598379653
Name:CRANE, SUSAN G (RN)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:G
Last Name:CRANE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:11 HOLLYWOOD AVE E
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-3019
Mailing Address - Country:US
Mailing Address - Phone:914-582-7921
Mailing Address - Fax:914-793-4820
Practice Address - Street 1:171 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-1998
Practice Address - Country:US
Practice Address - Phone:914-337-9300
Practice Address - Fax:914-395-4521
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY639919163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health