Provider Demographics
NPI:1679651657
Name:KRASNER, CHERYL S (RPAC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:S
Last Name:KRASNER
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1670 EAST 31ST STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234
Mailing Address - Country:US
Mailing Address - Phone:718-998-2786
Mailing Address - Fax:
Practice Address - Street 1:1651 CONEY ISLAND AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210
Practice Address - Country:US
Practice Address - Phone:718-382-6101
Practice Address - Fax:718-382-6103
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY007825363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant