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General NPI Number Information
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NPI Number | 1730153883
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Entity Type | Individual
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Provider Name | ROBERT HARRIS KRAMER D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 2500 NESCONSET HWY BUILDING 20
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City | STONY BROOK
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State | NY
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Zip | 11790-2555
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Country | US
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Telephone | 631-675-6966
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Fax | 631-675-6963
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Provider Business Mailing Address
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Address Line | 8 LOST MEADOW LN
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City | PORT JEFFERSON
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State | NY
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Zip | 11777-1128
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Country | US
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Telephone | 631-928-7060
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Fax | 631-675-6963
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 146545-1
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License Number State | NY
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