# KRAYDMAN MEDICAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669025144
- **Authorized official:** VALERIY KRAYDMAN M.D. (OWNER)
- **Authorized official phone:** (631) 271-9151

## Contact information

- **Practice address:** 49 DOLPHIN LN, NORTHPORT, NY 11768-1860
- **Practice address phone:** (631) 767-7724
- **Practice address fax:** (631) 271-9155
- **Mailing address:** 49 DOLPHIN LN, NORTHPORT, NY 11768-1860
- **Mailing address phone:** (631) 767-7724
- **Mailing address fax:** (631) 271-9155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 07/23/2019