Healthcare Provider Details

I. General information

NPI: 1457626962
Provider Name (Legal Business Name): DANA KRAMER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2012
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

150 W END AVE APT 29H
NEW YORK NY
10023-5744
US

V. Phone/Fax

Practice location:
  • Phone: 917-399-6267
  • Fax:
Mailing address:
  • Phone: 917-399-6267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF337086
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: