MEDICARE: CYNTHIA L. KRAUSE, M.D., P.C.

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	207VG0400X	Gynecology Physician	153297	NY

General Provider Information

NPI Number	:	1477784999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA L. KRAUSE, M.D., P.C.

Provider Business Mailing Address
First Line	:	1185 PARK AVE
Second Line	:	SUITE 1L
City	:	NEW YORK
State	:	NY
Zip	:	10128-1308
Country	:	US
Telephone Number	:	212-369-0602
Fax Number	:

Provider Business Practice Location Address
First Line	:	1185 PARK AVE
Second Line	:	SUITE 1L
City	:	NEW YORK
State	:	NY
Zip	:	10128-1308
Country	:	US
Telephone Number	:	212-369-0602
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CYNTHIA L. KRAUSE
Credential	:	M.D.
Telephone Number	:	212-369-0602

Provider Enumeration Date	:	07/31/2009
Last Update Date	:	05/06/2010

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