Provider Demographics
NPI:1811289770
Name:OSCAR KRANZ,MD,PC
Entity type:Organization
Organization Name:OSCAR KRANZ,MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-883-8300
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:11050-3767
Mailing Address - Country:US
Mailing Address - Phone:516-883-8300
Mailing Address - Fax:516-883-1375
Practice Address - Street 1:44 S BAYLES AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3767
Practice Address - Country:US
Practice Address - Phone:516-883-8300
Practice Address - Fax:516-883-1375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00169139Medicaid
NYB15848Medicare UPIN