Provider Demographics
NPI:1689679060
Name:KRAMER, JEFFREY A (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:KRAMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 GRANDVIEW LN
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-3331
Mailing Address - Country:US
Mailing Address - Phone:607-334-3225
Mailing Address - Fax:607-334-5946
Practice Address - Street 1:194 GRANDVIEW LN
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-3331
Practice Address - Country:US
Practice Address - Phone:607-334-3225
Practice Address - Fax:607-334-5946
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY113046-2207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00548430Medicaid
NYD02172Medicare UPIN
NY00548430Medicaid