Provider Demographics
NPI:1871662148
Name:KREMPA MEDICAL ASSOCIATES, LLP
Entity type:Organization
Organization Name:KREMPA MEDICAL ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KREMPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-483-2285
Mailing Address - Street 1:505 FOOTE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14701-8204
Mailing Address - Country:US
Mailing Address - Phone:716-483-2285
Mailing Address - Fax:716-483-6602
Practice Address - Street 1:505 FOOTE AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-8204
Practice Address - Country:US
Practice Address - Phone:716-483-2285
Practice Address - Fax:716-483-6602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0447Medicare ID - Type Unspecified