Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | F340243-1 | NY |
NPI | 1003277906 |
---|---|
Provider Name | Emily Kramer |
First Address | New York, NY 10028-3619 |
Second Address | New York, NY 10028-3619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2016 |
Last Update Date | 19/03/2016 |