Healthcare Provider Details

I. General information

NPI: 1568522191
Provider Name (Legal Business Name): STEPHEN D KRAMPERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 NORTHERN BLVD
ALBANY NY
12204-1004
US

IV. Provider business mailing address

185 RYKOWSKI LN STE 101
MIDDLETOWN NY
10941-4055
US

V. Phone/Fax

Practice location:
  • Phone: 518-783-3167
  • Fax: 518-786-1293
Mailing address:
  • Phone: 845-692-0030
  • Fax: 845-692-0037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD433102
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: