Organization
HAMBURG PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J KRZAN JR. MD (PRESIDENT)
(716) 312-7400
Entity
Organization
Contact information
Practice address
4390 QUINBY DR STE E, HAMBURG, NY 14075-7900
(716) 312-7400
(716) 312-7402
Mailing address
4390 QUINBY DR STE E, HAMBURG, NY 14075-7900
(716) 312-7400
(716) 312-7402
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
171487
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010096202
UNIVERA
NY
01
—
000527622002
BLUE CROSS BLUE SHIELD
NY
05
—
01136070
—
NY
01
—
061226000052
FIDELIS
NY
01
—
1202710
IHA
NY
Enumeration date
05/07/2007
Last updated
09/11/2008
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