MRS. RENEE MARIE KRAJCAR


Address: 6157 Rt 20 East, Lafayette, NY 13084
Phone: 3156773193

MRS. RENEE MARIE KRAJCAR (NPI# 1679580740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679580740
Entity Type Individual
Full Name MRS. RENEE MARIE KRAJCAR
Practice Address 6157 Rt 20 East
Lafayette
NY 13084
Mailing Address 114 Dexter Ave
Liverpool
NY 13088-6630
Practice Telephone 3156773193
Mailing Telephone 3152637998
Enumeration Date 2006-08-02
Last Update Date 2012-12-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
008058-1 NY Eye and Vision Services Providers

Office Location

Street Address 6157 RT 20 EAST
City LAFAYETTE
State NY
Zip Code 13084

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1912079286 Lafayette Ambulance Department Inc. Ambulance 2444 Rte 11 South, Lafayette, NY 13084 2006-11-14
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City LAFAYETTE
Zip Code 13084

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Dataset Information

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.

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