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Individual

BARRY I KROSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1978 CROMPOND RD, MOUNT KISCO MEDICAL GROUP PC, CORTLANDT MANOR, NY 10567-4146
(914) 739-2121
(914) 739-2185
Mailing address
1978 CROMPOND ROAD, MOUNT KISCO MEDICAL GROUP PC, CORTLANDT MANOR, NY 10567-4146
(914) 739-2121
(914) 739-2185

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1842761
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
1842761
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01750921
NY
01
0530960
AETNA USHEALTHCARE
NY
01
0D0431
HEALTHNET
NY
01
200028400
RAILROAD MEDICARE
NY
01
965507
MVP
NY
01
RS337
OXFORD
NY
Enumeration date
05/26/2006
Last updated
05/01/2012
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