DANIEL C KREDENTSER (NPI# 1588650287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588650287 |
| Entity Type | Individual |
| Full Name | DANIEL C KREDENTSER |
| Credential | M.D. |
| Practice Address |
391 Myrtle Ave Ste 2 Albany NY 12208-3797 |
| Mailing Address |
391 Myrtle Ave 2nd Floor Albany NY 12208-1742 |
| Practice Telephone | (518) 262-4942 |
| Mailing Telephone | (518) 262-4942 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2017-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
193576 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01460659 | 05 |
| Street Address |
391 MYRTLE AVE STE 2 |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467069203 | Allison Wood | Genetic Counselor, MS | 391 Myrtle Ave Ste 2, Albany, NY 12208-3797 | 2020-09-25 |
| 1598284325 | Mary Cates Johnson | Dietitian, Registered | 391 Myrtle Ave Ste 2, Albany, NY 12208-3797 | 2017-09-13 |
| 1043672371 | Corinne Mcleod | Obstetrics & Gynecology | 391 Myrtle Ave Ste 2, Albany, NY 12208-3797 | 2016-03-25 |
| 1437579018 | Meghan Foley Zysik | Obstetrics & Gynecology | 391 Myrtle Ave Ste 2, Mail Code 74, Albany, NY 12208-3513 | 2014-04-22 |
| 1316203763 | Tara Ann Lynch | Obstetrics & Gynecology | 391 Myrtle Ave Ste 2, Albany, NY 12208-3797 | 2012-04-10 |
| 1164587408 | Bruce A. Morris | Obstetrics & Gynecology | 391 Myrtle Ave Ste 2, Albany, NY 12208-3797 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366760282 | Jovana Yanique Martin | Obstetrics & Gynecology | 319 S Manning Blvd Ste 301, Albany, NY 12208 | 2010-05-17 |
| 1427211366 | Heidi Erika Godoy | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2008-07-09 |
| 1962553479 | Joyce N Barlin | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2007-01-13 |
| 1861420911 | John H Malfetano | Obstetrics & Gynecology | 24 Computer Dr W, Ste 100, Albany, NY 12205-1612 | 2006-06-29 |
| 1942297080 | Patrick F Timmins IIi | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2005-10-04 |
| 1659368090 | Timothy J Mcelrath | Obstetrics & Gynecology | 319 S Manning Blvd, Suite 301, Albany, NY 12208-1742 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363125 | Health Quest Medical Practice, PC | Obstetrics & Gynecology | 1240 Ulster Ave--gyn. Onc. Dept., Kingston, NY 12401-1517 | 2020-03-27 |
| 1447803028 | Dib Sassine | Obstetrics & Gynecology | 1233 York Ave Apt 10q, New York, NY 10065-6342 | 2019-07-22 |
| 1578049417 | Derman Basaran | Obstetrics & Gynecology | 504 E 63rd St Apt 17l, New York, NY 10065-7920 | 2018-07-13 |
| 1740706415 | Benny Brandt | Obstetrics & Gynecology | 1233 York Ave Apt 11o, New York, NY 10065-6342 | 2017-08-15 |
| 1447666862 | Zeitoun Medical Pllc | Obstetrics & Gynecology | 139 E 23rd St Fl 2, New York, NY 10010-3788 | 2014-07-07 |
| 1912265315 | David Gal | Obstetrics & Gynecology | 515 E 79th St Apt 28a, New York, NY 10075-0781 | 2012-04-24 |
| 1184990384 | Deanna Gerber | Obstetrics & Gynecology | 22 Heritage Dr Apt B, New City, NY 10956-5350 | 2012-04-02 |
| 1497032106 | Eugenia Girda | Obstetrics & Gynecology | 1732 E 13th St, Brooklyn, NY 11229-1902 | 2011-11-08 |
| 1972895092 | Gregory Matthew Gressel | Obstetrics & Gynecology | 1695 Eastchester Rd Ste 600, Bronx, NY 10461 | 2011-05-08 |
| 1902030679 | Melissa Kristen Frey | Obstetrics & Gynecology | 525 E 68th St # 122, New York, NY 10065 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.