Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 166762 | NY |
Y | 111NI0900X | Internist | 166762 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 166762 | NY |
NPI | 1053355115 |
---|---|
Provider Name | Barbara E Krenzer |
First Address | Syracuse, NY 13202-3188 |
Second Address | Syracuse, NY 13202-3188 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 15/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00986636 | (05) | NY |