Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N003033 | NY |
NPI | 1245307594 |
---|---|
Provider Name | Lynda Robin Kreitzer |
First Address | North Syracuse, NY 13212 |
Second Address | North Syracuse, NY 13212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 05/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00590538 | (05) | NY |
480022823 | MCAR RAILROAD (01) | NY |
BB5621 | MEDICARE (01) | NY |
T26494 | (02) |