Provider Demographics
NPI:1114357464
Name:KROHN, PAYSACH J (RABBI)
Entity Type:Individual
Prefix:MR
First Name:PAYSACH
Middle Name:J
Last Name:KROHN
Suffix:
Gender:M
Credentials:RABBI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11709 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1804
Mailing Address - Country:US
Mailing Address - Phone:718-846-6900
Mailing Address - Fax:718-846-6903
Practice Address - Street 1:11709 85TH AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-1804
Practice Address - Country:US
Practice Address - Phone:718-846-6900
Practice Address - Fax:718-846-6903
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-24
Last Update Date:2013-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist