MEDICARE: MICHAEL JEFFREY KRAMER M.D.

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	207R00000X	Internal Medicine Physician	164244	NY
2	207RC0000X	Cardiovascular Disease Physician	164244	NY

General Provider Information

NPI Number	:	1588805527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JEFFREY KRAMER M.D.

Provider Business Mailing Address
First Line	:	5 STONEWALL CT
Second Line	:
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-2582
Country	:	US
Telephone Number	:	212-799-7588
Fax Number	:	212-504-8339

Provider Business Practice Location Address
First Line	:	5 STONEWALL CT
Second Line	:
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-2582
Country	:	US
Telephone Number	:	212-799-7588
Fax Number	:	212-504-8339

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

Provider Enumeration Date	:	03/22/2009
Last Update Date	:	03/22/2009

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