Individual
STEPHANIE KRAEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3148
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021483-1
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021483-1
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
09/27/2017
Last updated
01/30/2019
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