Individual
DR. EVAN KEITH KRAKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 682-6557
(914) 682-6403
Mailing address
210 WESTCHESTER AVE, 3RD FLOOR, WHITE PLAINS, NY 10604-2901
(914) 681-3146
(914) 682-6403
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
043059
CT
208600000X
Surgery Physician
Primary
199530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183254/02338970
—
NY
Enumeration date
01/10/2006
Last updated
10/16/2013
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