Individual
MR. BRENT M KROENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
968 PAYNE AVE, NORTH TONAWANDA, NY 14120-3234
(716) 692-5480
(716) 692-4010
Mailing address
968 PAYNE AVE, NORTH TONAWANDA, NY 14120-3234
(716) 692-5480
(716) 692-4010
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004228-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00639881
—
NY
Enumeration date
01/12/2010
Last updated
01/12/2010
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