1407807795 NPI number — DR. ANNA KREMER M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407807795 NPI number — DR. ANNA KREMER M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

KREMER

Provider First Name:

ANNA

Provider Middle Name:

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1407807795

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

04/15/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

5 EAST 98TH STREET

Provider Second Line Business Mailing Address:

BOX 1174

Provider Business Mailing Address City Name:

NEW YORK

Provider Business Mailing Address State Name:

NY

Provider Business Mailing Address Postal Code:

10029-6501

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

212-241-2232

Provider Business Mailing Address Fax Number:

212-241-3023

Provider First Line Business Practice Location Address:

5 EAST 98TH STREET

Provider Second Line Business Practice Location Address:

2ND FLOOR

Provider Business Practice Location Address City Name:

NEW YORK

Provider Business Practice Location Address State Name:

NY

Provider Business Practice Location Address Postal Code:

10029-6501

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

212-241-8470

Provider Business Practice Location Address Fax Number:

212-241-4611

Provider Enumeration Date:

05/12/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207VX0000X , with the licence number:  226340-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207VX0000X , with the licence number: 226340 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 2527755 . This is a "MSNYU,HEALTH TOP TIER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 4C9969 . This is a "HEALTHNET, HMO,PLATINUM" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: P3603751 . This is a "OXF,LIBERTY,FREEDOM,MEDIC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 788C32 . This is a "EMPIRE, BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 02598832 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
• Identifier: 9387507 . This is a "PHCS,PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 3943296 . This is a "AETNA, HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 2527755 . This is a "UHC,HMO/POS,PPO,EPO,INDEM" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7425257 . This is a "CIGNA,HMO,PPO, INDEMNITY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 7144714 . This is a "AETNA, PPO,POS,EPO/INDEMN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".