Individual
CLAUDIA F KRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3045 EAST AVENUE, CENTRAL SQUARE, NY 13036
(315) 676-2935
(315) 668-3873
Mailing address
800 CARTER ST, ATTN CREDENTIALING, ROCHESTER, NY 14621-2604
(585) 336-4858
(585) 336-4845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001055
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355266
—
NY
Enumeration date
09/26/2006
Last updated
11/12/2009
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