Organization
JOY L KREEGER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY L KREEGER M.D. (OWNER)
(716) 805-1717
Entity
Organization
Contact information
Practice address
484 MAIN ST, EAST AURORA, NY 14052-1716
(716) 805-1717
(716) 805-1719
Mailing address
484 MAIN ST, EAST AURORA, NY 14052-1716
(716) 805-1717
(716) 805-1719
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1867181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020261801
UNIVERA
NY
01
—
000524399003
BCBS
NY
05
—
01462179
—
NY
01
—
1509109
INDEPENDENT HEALTH
NY
Enumeration date
12/18/2006
Last updated
08/22/2020
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