Provider Demographics
NPI:1376544981
Name:KRAMER, JENIFER KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:KIM
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3375 PARK AVE
Mailing Address - Street 2:SUITE 2003
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3733
Mailing Address - Country:US
Mailing Address - Phone:516-781-2171
Mailing Address - Fax:516-366-3565
Practice Address - Street 1:3375 PARK AVE
Practice Address - Street 2:SUITE 2003
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3733
Practice Address - Country:US
Practice Address - Phone:516-781-2171
Practice Address - Fax:516-366-3565
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236616207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine