Provider Demographics
NPI:1558708503
Name:KRAYNAK, JOANNA M (DO)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:M
Last Name:KRAYNAK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:2407 REICHART RD
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-8969
Practice Address - Country:US
Practice Address - Phone:570-784-8303
Practice Address - Fax:570-387-5030
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2020-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOT015119207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine