Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X011640-1 | NY |
NPI | 1003057043 |
---|---|
Provider Name | Dr. Melissa A Crane |
First Address | Buffalo, NY 14202-1513 |
Second Address | Buffalo, NY 14214-1515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2009 |
Last Update Date | 10/09/2014 |