Individual
DR. JASON KRONBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
270 UNION AVE, HOLBROOK, NY 11741-1823
(631) 588-4442
Mailing address
515 HIGH ST APT 3, PORT JEFFERSON, NY 11777-1834
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
221679-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02256857
—
NY
Enumeration date
08/21/2006
Last updated
07/08/2007
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