Individual
DANIEL C KREDENTSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
391 MYRTLE AVE STE 2, ALBANY, NY 12208-3797
(518) 262-4942
Mailing address
391 MYRTLE AVE 2ND FLOOR, ALBANY, NY 12208-1742
(518) 262-4942
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
193576
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01460659
—
NY
Enumeration date
09/27/2005
Last updated
07/21/2022
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