Provider Demographics
NPI:1760738827
Name:KRAUSS, MARLENE RENEE (MD)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:RENEE
Last Name:KRAUSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:52 E 72ND ST
Mailing Address - Street 2:PH
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4266
Mailing Address - Country:US
Mailing Address - Phone:212-319-5555
Mailing Address - Fax:212-319-5591
Practice Address - Street 1:52 E 72ND ST
Practice Address - Street 2:PH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4266
Practice Address - Country:US
Practice Address - Phone:212-319-5555
Practice Address - Fax:212-319-5591
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY148715207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology