Provider Demographics
NPI:1568429074
Name:KRIEFF, DONALD S (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:S
Last Name:KRIEFF
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:100 MERRICK RD
Mailing Address - Street 2:STE 100W
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4801
Mailing Address - Country:US
Mailing Address - Phone:516-442-3461
Mailing Address - Fax:516-442-3462
Practice Address - Street 1:410 LAKEVILLE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1101
Practice Address - Country:US
Practice Address - Phone:516-354-3401
Practice Address - Fax:516-354-8597
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2017-04-06
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Provider Licenses
StateLicense IDTaxonomies
NY199031207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02677705Medicaid
NYG77917Medicare UPIN
NY02677705Medicaid