Individual
MICHAEL KRICKELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 MARINE AVE, BROOKLYN, NY 11209-8003
(718) 680-7724
(718) 745-3651
Mailing address
321 MARINE AVE, BROOKLYN, NY 11209-8003
(718) 680-7724
(718) 745-3651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
163775
NY
207RG0100X
Gastroenterology Physician
Primary
163775
NY
Other
Enumeration date
09/14/2005
Last updated
07/03/2013
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