Individual
ANITA CRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0080
(716) 323-0295
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0080
(716) 323-0295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
406983
NY
2080P0206X
Pediatric Gastroenterology Physician
F380702
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F380702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027166101
UNIVERA
NY
01
—
000560684001
BC/BS
NY
01
—
0018168500001
PA MEDICAID
—
05
—
02244484
—
NY
01
—
040426002817
FIDELIS
NY
01
—
5111042
IHA
NY
Enumeration date
10/21/2006
Last updated
01/13/2021
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