Provider Demographics
NPI:1396892204
Name:CRANE, DANIEL LIONEL (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:LIONEL
Last Name:CRANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E 18TH ST
Mailing Address - Street 2:SUITE 1T
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2416
Mailing Address - Country:US
Mailing Address - Phone:212-473-7798
Mailing Address - Fax:212-529-7216
Practice Address - Street 1:130 E 18TH ST
Practice Address - Street 2:SUITE 1T
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2416
Practice Address - Country:US
Practice Address - Phone:212-473-7798
Practice Address - Fax:212-529-7216
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1184532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY957141Medicare PIN
NYC12470Medicare UPIN