Kronick, Gary Archer

Kronick, Gary Archer is an individual health care provider with primary practice located at 711 Troy Schenectady Rd Suite 104, Latham NY 12110-2442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kronick, Gary Archer can be contacted via phone (518) 783-3110.

Contact Information

Primary practice address
711 Troy Schenectady Rd Suite 104 Latham NY 12110-2442
Phone: (518) 783-3110
Fax: (518) 783-8510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 142320 New York

Profile Details

NPI number 1922119767
LBN Legal business name Kronick, Gary Archer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 1st, 2012 - about 14 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 1922119767 NPPES
New York MEDICAID 01160223

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