Provider Demographics
NPI:1871528190
Name:KROHEL, GREGORY B (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:B
Last Name:KROHEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2200 BURDETT AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2451
Mailing Address - Country:US
Mailing Address - Phone:518-271-6293
Mailing Address - Fax:518-271-6394
Practice Address - Street 1:2200 BURDETT AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2451
Practice Address - Country:US
Practice Address - Phone:518-271-6293
Practice Address - Fax:518-271-6394
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY137990207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
55441CMedicare ID - Type Unspecified
B81681Medicare UPIN