MEDICARE: DAVID JACOB KRAUS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	191922	NY

General Provider Information

NPI Number	:	1093906430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JACOB KRAUS MD

Provider Business Mailing Address
First Line	:	15 W 11TH ST
Second Line	:	APT PHB
City	:	NEW YORK
State	:	NY
Zip	:	10011-8607
Country	:	US
Telephone Number	:	212-677-2602
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 E 10TH ST
Second Line	:	SUITE GF
City	:	NEW YORK
State	:	NY
Zip	:	10003-5916
Country	:	US
Telephone Number	:	212-677-2602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	08/08/2007

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