Provider Demographics
NPI:1831273374
Name:KRAMER, NEAL D (OD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:D
Last Name:KRAMER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2285
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-8285
Mailing Address - Country:US
Mailing Address - Phone:518-458-2112
Mailing Address - Fax:518-458-2870
Practice Address - Street 1:971 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-3503
Practice Address - Country:US
Practice Address - Phone:518-458-2112
Practice Address - Fax:518-458-2870
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV3888152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0860250001Medicare UPIN