Healthcare Provider Details

I. General information

NPI: 1407807795
Provider Name (Legal Business Name): ANNA KREMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 EAST 98TH STREET 2ND FLOOR
NEW YORK NY
10029-6501
US

IV. Provider business mailing address

5 EAST 98TH STREET BOX 1174
NEW YORK NY
10029-6501
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-8470
  • Fax: 212-241-4611
Mailing address:
  • Phone: 212-241-2232
  • Fax: 212-241-3023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number226340-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number226340
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: