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NPI Code Detail

MEDICARE: PETER A KRINGSTEIN M.D.

MEDICARE: PETER A KRINGSTEIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician207921NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134124456
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER A KRINGSTEIN M.D.
Provider Business Mailing Address
First Line : 2365 S CLINTON AVE
Second Line : STE 100
City : ROCHESTER
State : NY
Zip : 14618-2645
Country : US
Telephone Number : 585-442-5320
Fax Number : 585-442-5526
Provider Business Practice Location Address
First Line : 2365 S CLINTON AVE
Second Line : STE 100
City : ROCHESTER
State : NY
Zip : 14618-2645
Country : US
Telephone Number : 585-442-5320
Fax Number : 585-442-5526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 03/26/2013

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