Krukenkamp, Irvin

Krukenkamp, Irvin is an individual health care provider with primary practice located at University Hospital, L5 , Stony Brook NY 11794. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Krukenkamp, Irvin can be contacted via phone (631) 444-2565.

Contact Information

Primary practice address
University Hospital, L5 Stony Brook NY 11794
Phone: (631) 444-2565
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 206593 New York

Profile Details

NPI number 1457373292
LBN Legal business name Krukenkamp, Irvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1457373292 NPPES
New York MEDICAID 01744389
New York Other 5450494
New York Other 92F641

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