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NPI Code Detail

MEDICARE: DR. VLADIMIR KRICHEVSKY M.D.

MEDICARE: DR. VLADIMIR KRICHEVSKY 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
1208800000XUrology Physician210390NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11099133OTHERNYGHI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619931359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VLADIMIR KRICHEVSKY M.D.
Provider Business Mailing Address
First Line : 8712 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5110
Country : US
Telephone Number : 718-680-1600
Fax Number : 718-680-4473
Provider Business Practice Location Address
First Line : 8712 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5110
Country : US
Telephone Number : 718-680-1600
Fax Number : 718-680-4473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2006
Last Update Date : 04/10/2008

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