Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | 039498 | NY |
Y | 1223P0221X | Pediatric Dentist | 039498 | NY |
NPI | 1205987112 |
---|---|
Provider Name | Dr. Steven Edward Krauss |
First Address | Woodmere, NY 11598-2732 |
Second Address | Lawrence, NY 11559-1808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 14/11/2007 |