Individual
MRS. STEPHANIE ERIKA KREIZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP, GNP, RN
Contact information
Practice address
525 E 68TH ST, BAKER 15, NEW YORK, NY 10065-4870
(646) 430-1569
Mailing address
4 CAROL CT, POMONA, NY 10970-2637
(646) 430-1569
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F30638-1
NY
363L00000X
Nurse Practitioner
Primary
F340895-1
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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