Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | P85255 | NY |
NPI | 1225388416 |
---|---|
Provider Name | Dr. Lucas Krauel |
First Address | New York, NY 10065-9309 |
Second Address | New York, NY 10065-9309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2012 |
Last Update Date | 14/09/2012 |