Individual
SUSAN KREKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-4071
(212) 746-4734
Mailing address
525 E 68TH ST # 331, NEW YORK, NY 10065-4870
(212) 746-4071
(212) 746-4734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202642-1
NY
207R00000X
Internal Medicine Physician
MD066296L
PA
208M00000X
Hospitalist Physician
Primary
202642-1
NY
208M00000X
Hospitalist Physician
MD066296L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017090270001
—
PA
05
—
01825149
—
NY
Enumeration date
07/05/2006
Last updated
08/09/2020
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