Individual
MADELINE KRATZ
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) 499-2273
Mailing address
280 PARK AVE S APT 24E, NEW YORK, NY 10010-6134
(203) 644-8366
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
026421
NY
363AS0400X
Surgical Physician Assistant
026421
NY
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/22/2021
Last updated
09/03/2024
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