Provider Demographics
NPI:1891912564
Name:KRAMER, BARRY DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:DAVID
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WEST 45TH ST
Mailing Address - Street 2:#1409
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10036
Mailing Address - Country:US
Mailing Address - Phone:212-683-7039
Mailing Address - Fax:212-764-7082
Practice Address - Street 1:2 WEST 45TH ST
Practice Address - Street 2:#1409
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10036
Practice Address - Country:US
Practice Address - Phone:212-683-7039
Practice Address - Fax:212-764-7082
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0426691122300000X
NYNY042669-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist