Organization
LYNDA KREITZER DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA KREITZER DPM (OWNER/DOCTOR)
(315) 452-1314
Entity
Organization
Contact information
Practice address
316 S MAIN ST, NORTH SYRACUSE, NY 13212-3124
(315) 452-1314
Mailing address
316 S MAIN ST, NORTH SYRACUSE, NY 13212-3124
(315) 452-1314
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N003033
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00590538
—
NY
01
—
480022823
MCAR RAILROAD
NY
01
—
AA0287
MEDICARE
NY
Enumeration date
09/07/2007
Last updated
10/19/2010
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