Provider Demographics
NPI:1134561970
Name:KRAMER, YAIR (PSYD)
Entity type:Individual
Prefix:
First Name:YAIR
Middle Name:
Last Name:KRAMER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4834
Mailing Address - Country:US
Mailing Address - Phone:914-450-5797
Mailing Address - Fax:
Practice Address - Street 1:170 W 73RD ST LBBY SUITE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3006
Practice Address - Country:US
Practice Address - Phone:914-450-5797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020259103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist