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NPI Code Detail

MEDICARE: DR. KARINA KROM DDS

MEDICARE: DR. KARINA KROM DDS
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
11223G0001XGeneral Practice Dentistry052674NY

General Provider Information

NPI Number : 1588700827
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARINA KROM DDS
Provider Business Mailing Address
First Line : 3060 OCEAN AVE APT 1N
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-3357
Country : US
Telephone Number : 718-615-2272
Fax Number :
Provider Business Practice Location Address
First Line : 330 W 42ND ST
Second Line :
City : NEW YORK
State : NY
Zip : 10036-6902
Country : US
Telephone Number : 212-631-0222
Fax Number : 212-631-0114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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Directions to “ DR. KARINA KROM DDS” Practice Location

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