Kroopnick, Kenneth J

Kroopnick, Kenneth J is an individual health care provider with primary practice located at 4 Normanskill Blvd , Delmar NY 12054-1335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kroopnick, Kenneth J can be contacted via phone (518) 478-9423.

Contact Information

Primary practice address
4 Normanskill Blvd Delmar NY 12054-1335
Fax: (518) 439-7046
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 173016 New York

Profile Details

NPI number 1053303974
LBN Legal business name Kroopnick, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Aug 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053303974 NPPES
New York MEDICAID 01100187

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