Provider Demographics
NPI:1225469315
Name:OVIDIU A KRAUSZ MD PC
Entity Type:Organization
Organization Name:OVIDIU A KRAUSZ MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:OVIDIU
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRAUSZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-721-3327
Mailing Address - Street 1:310 WOODS AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2146
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:310 WOODS AVE
Practice Address - Street 2:STE 3
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2146
Practice Address - Country:US
Practice Address - Phone:646-721-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262973261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03437092Medicaid