Provider Demographics
NPI:1720517089
Name:KRASS, ORLEE ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:ORLEE
Middle Name:ELIZABETH
Last Name:KRASS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2609
Mailing Address - Country:US
Mailing Address - Phone:917-439-7845
Mailing Address - Fax:
Practice Address - Street 1:2
Practice Address - Street 2:WOODLAND ROAD
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956
Practice Address - Country:US
Practice Address - Phone:917-439-7845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1808306174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist