Organization
PEDERSON-KRAG CENTER INC
Active
Other names
PEDERSON-KRAG CENTER, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE RIVERA-HERRERA (VP OF FINANCE FOR CLINICAL SERVICES)
(347) 542-4217
Entity
Organization
Contact information
Practice address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(631) 920-8000
(631) 920-8167
Mailing address
142-02 20TH AVENUE, 3RD FLOOR, FLUSHING, NY 11351
(718) 559-0555
(718) 445-7111
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007155064
AETNA
NY
01
—
0007525706
AETNA
NY
01
—
0007632069
AETNA
NY
01
—
001728
BLUE CROSS
NY
01
—
002875
BLUE CROSS
NY
05
—
00337004
—
NY
05
—
01556532
—
NY
05
—
01819272
—
NY
05
—
01934014
—
NY
05
—
02717417
—
NY
01
—
038080
VALUE OPTIONS
NY
01
—
040403001029
FIDELIS
NY
01
—
1042840-8842
BEACON HEALTH STRATEGIES
NY
01
—
11662
VYTRA
NY
01
—
3189305
GHI
NY
01
—
ANC1285
OXFORD
NY
01
—
DA1829
RAILROAD MEDICARE
NY
01
—
W02691
BLUE CROSS
NY
Enumeration date
05/27/2006
Last updated
03/03/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us