Provider Demographics
NPI:1134244023
Name:KRANZLER, HARVEY NATHAN (MD)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:NATHAN
Last Name:KRANZLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 WELLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2111
Mailing Address - Country:US
Mailing Address - Phone:201-907-0185
Mailing Address - Fax:201-907-0185
Practice Address - Street 1:451 W END AVE
Practice Address - Street 2:2H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5347
Practice Address - Country:US
Practice Address - Phone:212-874-4095
Practice Address - Fax:212-874-4095
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1204812084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B79145Medicare UPIN