Individual
MRS. BARBARA IDCZAK-KRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 SPROUT BROOK RD, GARRISON, NY 10524-7464
(845) 739-9241
Mailing address
310 SPROUT BROOK RD, GARRISON, NY 10524-7464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016039-1
NY
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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