| Joy L Kreeger Md Pc | |
|
484 Main St East Aurora NY 14052-1716 | |
| (716) 805-1717 | |
| (716) 805-1719 |
| Full Name | Joy L Kreeger Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 484 Main St, East Aurora, New York |
| Authorized Official Name and Position | Joy L Kreeger (OWNER) |
| Authorized Official Contact | 7168051717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joy L Kreeger Md Pc 484 Main St East Aurora NY 14052-1716 Ph: (716) 805-1717 | Joy L Kreeger Md Pc 484 Main St East Aurora NY 14052-1716 Ph: (716) 805-1717 |
| NPI Number | 1477616159 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456353184 |
|---|---|
| Medicare Enrollment ID | O20070209000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477616159 | NPI | - | NPPES |
| 01462179 | Medicaid | NY | |
| 000524399003 | Other | NY | BCBS |
| 1509109 | Other | NY | INDEPENDENT HEALTH |
| 00020261801 | Other | NY | UNIVERA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1867181 (New York) | Primary |
| Provider Name | Joy L Kreeger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124122304 PECOS PAC ID: 5395747026 Enrollment ID: I20070209000303 |
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