Individual
DALE LANE KRANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1955 MERRICK RD, SUITE 202, MERRICK, NY 11566-4642
(516) 623-9145
(516) 867-8576
Mailing address
1955 MERRICK RD, SUITE 202, MERRICK, NY 11566-4642
(516) 623-9145
(516) 867-8576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004274-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004274-1
HEALTHFIRST
NY
01
—
0099599
GHI
NY
01
—
013516
MEDICARE SUBMITTER NUMBER
NY
01
—
452017
AETNA
NY
01
—
6680086001
CIGNA
NY
01
—
811296
MANAGED PHYSICAL NETWORK
NY
01
—
DK0Q303420
BCBS
NY
Enumeration date
02/10/2006
Last updated
02/15/2008
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