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Individual

DR. KEVIN KRENITSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60 EXECUTIVE BLVD, FARMINGDALE, NY 11735-4710
(631) 755-5500
Mailing address
11 CEDAR ST, BABYLON, NY 11702-2317
(610) 304-8784

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD-069301-L
PA

Other

Enumeration date
07/30/2009
Last updated
07/30/2009
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