National Provider Identifier

Craig Lane

Craig Lane is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse in Bath, NY and a listed phone number of (607) 664-4000.

NPI 1740042241Bath, NYGeneral Practice Registered Nurse

Profile Overview

NPI
1740042241
Provider Type
Individual
Primary Specialty
General Practice Registered Nurse
Enumeration Date
January 29, 2024
Last Updated
January 29, 2024

Practice Location

  • 76 Veterans Ave
  • Bath, NY 14810-0810

Phone: (607) 664-4000

Mailing Address

  • 5590 Crystal Springs RD
  • Dundee, NY 14837-9426

Specialties

  • General Practice Registered Nurse (163WG0000X)
Full Record
NPI
1740042241
Entity Type
Individual
Last Name
Lane
First Name
Craig
Mailing Street Address
5590 Crystal Springs RD
Mailing City
Dundee
Mailing State
NY
Mailing ZIP Code
14837-9426
Mailing Country
US
Mailing Phone
(607) 483-4788
Practice Street Address
76 Veterans Ave
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4000
Enumeration Date
January 29, 2024
Last Updated
January 29, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
January 29, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Registered Nurse (163WG0000X)