Provider Demographics
NPI:1932108875
Name:KRAMER, RACHEL VIVIAN (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:VIVIAN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6828
Mailing Address - Country:US
Mailing Address - Phone:212-879-3496
Mailing Address - Fax:212-879-3724
Practice Address - Street 1:1751 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6828
Practice Address - Country:US
Practice Address - Phone:212-879-3496
Practice Address - Fax:212-879-3724
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217538207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400142558Medicare PIN
NYH99977Medicare UPIN