Individual
MS. DEANNA M KROLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
48 ROUTE 25A STE 301, SMITHTOWN, NY 11787-1454
(631) 862-3171
(631) 862-3180
Mailing address
48 ROUTE 25A STE 301, SMITHTOWN, NY 11787-1454
(631) 862-3171
(631) 862-3180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014133
NY
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/08/2010
Last updated
11/17/2017
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