Individual
DR. ANNA KRAVTSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
401 HAMBURG TPKE STE 302, WAYNE, NJ 07470-2139
(973) 790-9222
Mailing address
2100 LINWOOD AVE APT 9N, FORT LEE, NJ 07024-3130
(201) 341-1605
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
270608
NY
2084P0800X
Psychiatry Physician
Primary
25MB09435000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
62969
NY
Other
Enumeration date
04/20/2010
Last updated
06/05/2018
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