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Individual

DR. JOHN P CRANSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27 GRAND ST, KINGSTON, NY 12401-3933
(845) 338-1535
(845) 334-9789
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
116416-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00359962
NY
01
141757037
UNITED HEALTHCARE #
NY
01
4144832
MVP PROVIDER #
NY
01
515B01
BLUE'S PROVIDER #
NY
Enumeration date
04/19/2006
Last updated
06/17/2021
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