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Provider Detail for 1780674564

PAUL BOYD KREIENBERG, MD

Gender: M

Mailing Address:
391 MYRTLE AVE., SUITE 5
THE VASCULAR GROUP, PLLC
ALBANY, NY 12208-3797

Phone: 518-262-5640
Fax: 518-262-9413

Physical Address:
391 MYRTLE AVE., SUITE 5
THE VASCULAR GROUP, PLLC
ALBANY, NY 12208-3412

Phone: 518-262-5640
Fax: 518-262-9413

Other Identification Numbers

MEDICAID(NY): 01620864

Taxonomy

Allopathic & Osteopathic Physicians/Radiology, Vascular and Interventional Radiology
State: NY License: 195469
Allopathic & Osteopathic Physicians/Thoracic Surgery (Cardiothoracic Vascular Surgery)
State: NY License: 195469
Allopathic & Osteopathic Physicians/Surgery/Vascular Surgery
(Primary Specialty)
State: NY License: 195469

Last Update: 09/19/2017

Provider Enrollment, Chain and Ownership System (PECOS)

This NPI is eligible to order and refer in the Medicare program - they have a record in the PECOS database (click here for more info).

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