Provider Demographics
NPI:1952165102
Name:KRAMER, KANDACE EMILY (MFT)
Entity Type:Individual
Prefix:
First Name:KANDACE
Middle Name:EMILY
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 SUBURBAN CT APT 3
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3829
Mailing Address - Country:US
Mailing Address - Phone:631-356-9560
Mailing Address - Fax:
Practice Address - Street 1:442 5TH AVE # 2101
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-2794
Practice Address - Country:US
Practice Address - Phone:646-598-4575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist