THE PEDERSON KRAG CENTER NPI 1306278726

NPI Information

NPI: 1306278726
Provider Name: THE PEDERSON KRAG CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
11 ROUTE 111
SMITHTOWN, NY
ZIP 11787
Phone: (631) 920-8300
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THE PEDERSON KRAG CENTER is a rehabilitation and substance use disorder clinic center in Smithtown, NY. THE PEDERSON KRAG CENTER NPI is 1306278726. The provider is registered as an organization entity type.

The provider's business location address is:

11 ROUTE 111
SMITHTOWN, NY
ZIP 11787-739
Phone: (631) 920-8300

The provider's authorized official is Krista Whitman .
The authorized official title is Program Director and has the following contact phone number (631) 920-8336.

The enumeration date for this NPI number is 8/8/2013 and was last updated on 8/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	089076	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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