| Doctor Name: | JOHANNA KREMBERG |
| NPI Number: | 1609203223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DVM |
| License Number: | 012108 |
| Business Practice Address: | 109 N Mabbettsville Rd Millbrook, NY - 125455356 |
| Business Phone Number: | 8456775500 |
| Business Fax Number: | 8456776009 |
| Mailing Address: | 15 Hunns Lake Pt, STANFORDVILLE |
| State: | NY |
| Postal Code: | 125815946 |
| Phone Number: | 8454754602 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2013 |
| NPI Last Update Date: | 09/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 012108 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |