| Pederson Krag | |
|
3600 Route 112 Coram NY 11727-4116 | |
| (631) 853-8511 | |
| Not Available |
| Full Name | Pederson Krag |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3600 Route 112, Coram, New York |
| Authorized Official Name and Position | Michelle Savino (SOCIAL WORKER) |
| Authorized Official Contact | 6318538511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pederson Krag 102 Romito Ct Bethpage NY 11714-3221 | Pederson Krag 3600 Route 112 Coram NY 11727-4116 Ph: (631) 853-8511 |
| NPI Number | 1952736076 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 09/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952736076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 086683 (New York) | Primary |
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