Provider Demographics
NPI:1043371404
Name:KRAEBBER, ANDREAS KONRAD (MD)
Entity Type:Individual
Prefix:
First Name:ANDREAS
Middle Name:KONRAD
Last Name:KRAEBBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:275 CENTRAL PARK WEST
Mailing Address - Street 2:SUITE 19A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-874-4984
Mailing Address - Fax:212-874-0932
Practice Address - Street 1:275 CENTRAL PARK WEST
Practice Address - Street 2:SUITE 19A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-874-4984
Practice Address - Fax:212-874-0932
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY20856712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry