MEDICARE: LARRY KRAMER

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	183500000X	Pharmacist	042614	NY

General Provider Information

NPI Number	:	1710192752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY KRAMER

Provider Business Mailing Address
First Line	:	7 DARIEN CT
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3011
Country	:	US
Telephone Number	:	845-362-1490
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 SAINT ANNS AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-2589
Country	:	US
Telephone Number	:	718-993-1488
Fax Number	:

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

Provider Enumeration Date	:	05/12/2007
Last Update Date	:	07/08/2007

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Directions to “ LARRY KRAMER ” Practice Location

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