Healthcare Provider Details

I. General information

NPI: 1669406492
Provider Name (Legal Business Name): PAUL L KRAWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 PARK AVE STE 100
HUNTINGTON NY
11743-3972
US

IV. Provider business mailing address

825 E GATE BLVD STE 111
GARDEN CITY NY
11530-2136
US

V. Phone/Fax

Practice location:
  • Phone: 631-397-1241
  • Fax:
Mailing address:
  • Phone: 516-804-5200
  • Fax: 516-240-6540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number1667631
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: