Provider Demographics
NPI:1720738081
Name:DANIEL CRAIGIE
Entity Type:Organization
Organization Name:DANIEL CRAIGIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:CRAIGIE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:716-693-9961
Mailing Address - Street 1:33 ONTARIO ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-2815
Mailing Address - Country:US
Mailing Address - Phone:716-830-1420
Mailing Address - Fax:
Practice Address - Street 1:624 RIVER RD
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-6563
Practice Address - Country:US
Practice Address - Phone:716-693-9961
Practice Address - Fax:716-693-4402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty