Healthcare Provider Details

I. General information

NPI: 1962329268
Provider Name (Legal Business Name): CAROLINE KRAFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MERRICK AVE
EAST MEADOW NY
11554-4748
US

IV. Provider business mailing address

972 BRUSH HOLLOW RD FL 4
WESTBURY NY
11590-1740
US

V. Phone/Fax

Practice location:
  • Phone: 516-393-8900
  • Fax:
Mailing address:
  • Phone: 516-321-7526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number010666
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: