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Individual
JAIME I KREPOSTMAN
Active
Individual
JAIME I KREPOSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
125898
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00507680
—
NY
01
—
017934
AAO
NM
01
—
10001108
CDPHP
NY
01
—
125898
MD LICENSE
NY
01
—
17214
MVP
NY
01
—
342911
EMPIRE BLUE CROSS
NY
01
—
SE223481
WORKERS COMPENSATION
NY
Enumeration date
08/12/2006
Last updated
03/07/2023
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