| Doctor Name: | DR. KEVIN KRENITSKY |
| NPI Number: | 1013148618 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD-069301-L |
| Business Practice Address: | 60 Executive Blvd Farmingdale, NY - 117354710 |
| Business Phone Number: | 6317555500 |
| Business Fax Number: | |
| Mailing Address: | 11 Cedar St, BABYLON |
| State: | NY |
| Postal Code: | 117022317 |
| Phone Number: | 6103048784 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2009 |
| NPI Last Update Date: | 07/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | MD-069301-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |