Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 091372 | NY |
NPI | 1033385778 |
---|---|
Provider Name | Dr. Theodore Kramer |
First Address | Greenwich, CT 06830-5734 |
Second Address | Greenwich, CT 06830-5734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2008 |
Last Update Date | 31/01/2018 |