Healthcare Provider Details

I. General information

NPI: 1154471472
Provider Name (Legal Business Name): ROBERT B KRAUSZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 11/09/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 WALLABOUT ST
BROOKLYN NY
11249-7830
US

IV. Provider business mailing address

74 WALLABOUT ST
BROOKLYN NY
11249-7830
US

V. Phone/Fax

Practice location:
  • Phone: 718-260-4600
  • Fax: 718-852-0867
Mailing address:
  • Phone: 718-260-4600
  • Fax: 718-852-0867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number162076
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: