Individual
KIRK KRICKMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T.T
Contact information
Practice address
736 CRAIG AVE, STATEN ISLAND, NY 10307-1510
(973) 676-1000
Mailing address
736 CRAIG AVE, STATEN ISLAND, NY 10307-1510
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
479839
NY
2471R0002X
Radiation Therapy Radiologic Technologist
636578
NJ
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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