Provider Demographics
NPI:1750489423
Name:KRAMER, LAWRENCE D
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:D
Last Name:KRAMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 MADISON AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-1600
Mailing Address - Country:US
Mailing Address - Phone:212-545-2439
Mailing Address - Fax:646-312-0481
Practice Address - Street 1:4215 3RD AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4501
Practice Address - Country:US
Practice Address - Phone:718-294-5891
Practice Address - Fax:718-294-2468
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135138207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00843123Medicaid
NY00695941Medicaid
NY331944Medicare Oscar/Certification
NY331978Medicare Oscar/Certification
NY00843123Medicaid
NY331952Medicare Oscar/Certification
NY331058Medicare Oscar/Certification
NY0105EWMedicare PIN
NYA61473Medicare UPIN
NY331947Medicare Oscar/Certification
NYW6L111Medicare Oscar/Certification
NY0105EUMedicare ID - Type Unspecified
NY331954Medicare Oscar/Certification
NY331955Medicare Oscar/Certification
NY331009Medicare Oscar/Certification
NYG100000410Medicare Oscar/Certification
NY331946Medicare Oscar/Certification
NY331943Medicare Oscar/Certification
NY331043Medicare Oscar/Certification