Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC009778 | PA |
Y | 111N00000X | Chiropractor | XO11877-1 | NY |
N | 111NX0100X | Occupational Health | AJ009584 | PA |
NPI | 1649309055 |
---|---|
Provider Name | Mr. Adam J Kritzberg |
First Address | Oceanside, NY 11572-2044 |
Second Address | Oceanside, NY 11572-2044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 30/05/2013 |