Individual
MR. KENNETH THOMAS KRAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
12 PLATINUM CT, MEDFORD, NY 11763-2247
(631) 504-6800
(631) 504-6803
Mailing address
12 PLATINUM CT, MEDFORD, NY 11763-2247
(631) 504-6800
(631) 504-6803
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000193
NY
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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