Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 171704 | NY |
NPI | 1003844838 |
---|---|
Provider Name | Curtis J Cranmer |
First Address | Hammondsport, NY 14840-9720 |
Second Address | Bath, NY 14810-9504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01139564 | (05) | NY |
E62856 | (02) | NY |