Provider Demographics
NPI:1730153883
Name:KRAMER, ROBERT HARRIS (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HARRIS
Last Name:KRAMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8 LOST MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-1128
Mailing Address - Country:US
Mailing Address - Phone:631-928-7060
Mailing Address - Fax:631-675-6963
Practice Address - Street 1:2500 NESCONSET HWY
Practice Address - Street 2:BUILDING 20
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2555
Practice Address - Country:US
Practice Address - Phone:631-675-6966
Practice Address - Fax:631-675-6963
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY146545-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology