Provider Demographics
NPI:1144224668
Name:KRAUS, DIANE J (MD)
Entity Type:Individual
Prefix:MISS
First Name:DIANE
Middle Name:J
Last Name:KRAUS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:1561 ROUTE 9W
Practice Address - Street 2:
Practice Address - City:LAKE KATRINE
Practice Address - State:NY
Practice Address - Zip Code:12449-5410
Practice Address - Country:US
Practice Address - Phone:845-231-5600
Practice Address - Fax:845-202-7539
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2017-02-16
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Provider Licenses
StateLicense IDTaxonomies
NY179551174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01441845Medicaid
NYA400118690Medicare PIN