MEDICARE: RIVKA KRAMER PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F405555-01	NY

General Provider Information

NPI Number	:	1891548483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIVKA KRAMER PMHNP-BC

Provider Business Mailing Address
First Line	:	136 CEDARHURST AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2130
Country	:	US
Telephone Number	:	516-464-8404
Fax Number	:	315-805-9139

Provider Business Practice Location Address
First Line	:	136 CEDARHURST AVE
Second Line	:
City	:	CEDARHURST
State	:	NY
Zip	:	11516-2130
Country	:	US
Telephone Number	:	516-945-9443
Fax Number	:	315-805-9139

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

Provider Enumeration Date	:	04/11/2024
Last Update Date	:	11/20/2025

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