Provider Demographics
NPI:1235572249
Name:KRASNER, JUDITH
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:KRASNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 UNION SQ W
Mailing Address - Street 2:APARTMENT 14E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3203
Mailing Address - Country:US
Mailing Address - Phone:917-270-3389
Mailing Address - Fax:212-792-6058
Practice Address - Street 1:31 UNION SQ W
Practice Address - Street 2:APARTMENT 14E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3203
Practice Address - Country:US
Practice Address - Phone:917-270-3389
Practice Address - Fax:212-792-6058
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0181881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical