Provider Demographics
NPI:1134513567
Name:KRAHN, MANUELA DEL CARMEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MANUELA
Middle Name:DEL CARMEN
Last Name:KRAHN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MANUELA
Other - Middle Name:DEL CARMEN
Other - Last Name:MCCALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:224 W 35TH ST FL 16
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2529
Mailing Address - Country:US
Mailing Address - Phone:212-689-0024
Mailing Address - Fax:
Practice Address - Street 1:224 W 35TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2507
Practice Address - Country:US
Practice Address - Phone:212-689-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058616-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist