Provider Demographics
NPI:1114224896
Name:KRATA, JILL (PHD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:KRATA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:
Other - Last Name:KREUTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:200 E 74TH ST
Mailing Address - Street 2:APT. 8-E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3618
Mailing Address - Country:US
Mailing Address - Phone:917-797-5426
Mailing Address - Fax:
Practice Address - Street 1:200 E 74TH ST
Practice Address - Street 2:APT. 8-E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3618
Practice Address - Country:US
Practice Address - Phone:917-797-5426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health