Provider Demographics
NPI:1750269536
Name:KRASNE, YISROEL C
Entity type:Individual
Prefix:
First Name:YISROEL
Middle Name:C
Last Name:KRASNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 48TH ST APT A5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5208
Mailing Address - Country:US
Mailing Address - Phone:929-275-0059
Mailing Address - Fax:
Practice Address - Street 1:1360 48TH ST APT A5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5208
Practice Address - Country:US
Practice Address - Phone:929-275-0059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty