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Individual

DR. ROBERT A. KRACKOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
509 MADISON AVE, SUITE 1716, NEW YORK, NY 10022-5501
(212) 752-7536
(212) 752-7723
Mailing address
509 MADISON AVENUE, SUITE 1716, NEW YORK, NY 10022-5527
(212) 752-7536
(212) 752-7723

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
037039
NY

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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