| Kraydman Medical, P.c. | |
|
49 Dolphin Ln Northport NY 11768-1860 | |
| (631) 767-7724 | |
| (631) 271-9155 |
| Full Name | Kraydman Medical, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 49 Dolphin Ln, Northport, New York |
| Authorized Official Name and Position | Valeriy Kraydman (OWNER) |
| Authorized Official Contact | 6312719151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kraydman Medical, P.c. 49 Dolphin Ln Northport NY 11768-1860 Ph: (631) 767-7724 | Kraydman Medical, P.c. 49 Dolphin Ln Northport NY 11768-1860 Ph: (631) 767-7724 |
| NPI Number | 1669025144 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Medicare PECOS PAC ID | 1254669500 |
|---|---|
| Medicare Enrollment ID | O20190823001474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669025144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Valeriy Kraydman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922260660 PECOS PAC ID: 0345304754 Enrollment ID: I20090130000089 |
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