Provider Demographics
NPI:1780857755
Name:KRAUS, ANN MARTIN (LAC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARTIN
Last Name:KRAUS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1996 SARANAC AVE
Mailing Address - Street 2:STE. 2
Mailing Address - City:LAKE PLACID
Mailing Address - State:NY
Mailing Address - Zip Code:12946-1140
Mailing Address - Country:US
Mailing Address - Phone:518-523-2344
Mailing Address - Fax:518-523-8882
Practice Address - Street 1:1996 SARANAC AVE
Practice Address - Street 2:STE. 2
Practice Address - City:LAKE PLACID
Practice Address - State:NY
Practice Address - Zip Code:12946-1140
Practice Address - Country:US
Practice Address - Phone:518-523-2344
Practice Address - Fax:518-523-8882
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002266171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist