Individual
PHILIP R KREITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4211 MEDICAL CENTER DR, SUITE 211, FAYETTEVILLE, NY 13066-6637
(315) 329-0210
(315) 329-0215
Mailing address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-4185
(315) 478-0840
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
152920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01843838
—
NY
Enumeration date
02/16/2006
Last updated
06/28/2012
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