Organization
HAROLD FRITZ KEROLLE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD FRITZ KEROLLE MD (PRESIDENT)
(718) 434-2992
Entity
Organization
Contact information
Practice address
1050 OCEAN AVE STE A1, BROOKLYN, NY 11226-9205
(718) 434-2992
(718) 434-2997
Mailing address
1050 OCEAN AVE STE A1, BROOKLYN, NY 11226-9205
(718) 434-2992
(718) 434-2997
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
189432
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01432824
—
NY
Enumeration date
09/26/2008
Last updated
09/26/2008
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