| Richard Kroll, MD | |
|
2 Medical Park Dr, West Nyack, NY 10994-1965 | |
| (845) 354-5000 | |
| (854) 354-9469 |
| Full Name | Richard Kroll |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2 Medical Park Dr, West Nyack, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831173582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | CDRH.0055297 (Colorado) | Secondary |
| 208800000X | Urology | 58636 (Arizona) | Secondary |
| 208800000X | Urology | 1135Z9 (New York) | Primary |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Kroll, MD 20 Grand Street, 3rd Fl, Warwick, NY 10990-1035 Ph: (845) 777-3569 | Richard Kroll, MD 2 Medical Park Dr, West Nyack, NY 10994-1965 Ph: (845) 354-5000 |
Mr. Alexander M. Schwartz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Centerock Rd, West Nyack, NY 10994 Phone: 845-703-6999 Fax: 845-703-6297 | |
Dr. Marissa Christina Theofanides, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 2 Centerock Rd, West Nyack, NY 10994 Phone: 845-703-6999 Fax: 845-703-6297 | |
Dr. Ross Bauer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Dr, Suite 10, West Nyack, NY 10994 Phone: 845-354-5000 Fax: 845-354-9469 | |
Mitchell Fraiman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Dr, West Nyack, NY 10994 Phone: 845-354-5000 Fax: 845-354-9469 | |
Kathleen Latino, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Park Dr, West Nyack, NY 10994 Phone: 854-354-5000 Fax: 845-354-9469 | |
Richard Evans, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Dr, West Nyack, NY 10994 Phone: 845-354-5000 Fax: 845-354-9469 |