Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 001715 | NY |
NPI | 1043683709 |
---|---|
Provider Name | Doreen Kramer |
First Address | Brooklyn, NY 11220-4616 |
Second Address | Brooklyn, NY 11219-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2015 |
Last Update Date | 15/02/2019 |