Provider Demographics
NPI:1912016999
Name:KRANZ, OSCAR I (MD,PC)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:KRANZ
Suffix:I
Gender:M
Credentials:MD,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S BAYLES AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3765
Mailing Address - Country:US
Mailing Address - Phone:516-883-8300
Mailing Address - Fax:516-883-1375
Practice Address - Street 1:44 S BAYLES AVE STE 320
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3765
Practice Address - Country:US
Practice Address - Phone:516-883-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY98273207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00169139Medicaid
NY00169139Medicaid
NYB15848Medicare UPIN