Individual
DANIEL C KREDENTSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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