Basic Information
| Provider Information | |||||||||
| NPI: | 1518129402 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KRANITZKY | ||||||||
| FirstName: | BETHANY | ||||||||
| MiddleName: | GASKILL | ||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | GASKILL | ||||||||
| OtherFirstName: | BETHANY | ||||||||
| OtherMiddleName: | MEREDITH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 150 E 42ND ST FL 9 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100175699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6466058188 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1ST AVENUE AND E 16TH STREET | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100031000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128441808 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2008 | ||||||||
| LastUpdateDate: | 04/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 15225 | NH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 15225 | NH | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.