Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 139528 | NY |
N | 208600000X | Surgeon | 139528 | NY |
N | 2082S0105X | Plastic Hand Surgeon | 139528 | NY |
NPI | 1245238583 |
---|---|
Provider Name | Dr. Robert L Kraft |
First Address | Forest Hills, NY 11375-5550 |
Second Address | Forest Hills, NY 11375-5550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14D001 | BLUE CROSS (01) | |
B88716 | (02) | |
DS023 | OXFORD HEALTH PLAN (01) |