Healthcare Provider Details

I. General information

NPI: 1215125232
Provider Name (Legal Business Name): RICHARD N. KRINSKY D.O. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 NEW LITCHFIELD ST
TORRINGTON CT
06790-7811
US

IV. Provider business mailing address

1215 NEW LITCHFIELD ST
TORRINGTON CT
06790-7811
US

V. Phone/Fax

Practice location:
  • Phone: 860-496-9669
  • Fax: 860-496-1524
Mailing address:
  • Phone: 860-496-9669
  • Fax: 860-496-1524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number000439
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number000439
License Number StateCT

VIII. Authorized Official

Name: MR. RICHARD NEIL KRINSKY
Title or Position: PRESIENT/PHYSICIAN
Credential: D.O.
Phone: 860-496-9669