Provider Demographics
NPI:1760430326
Name:KRINSKY, SAMUEL IRWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:IRWIN
Last Name:KRINSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 SWEET BRIAR RD
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942
Mailing Address - Country:US
Mailing Address - Phone:215-795-0450
Mailing Address - Fax:
Practice Address - Street 1:1620 SWEET BRIAR RD
Practice Address - Street 2:
Practice Address - City:OTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18942
Practice Address - Country:US
Practice Address - Phone:215-795-0307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026835E2085N0904X
WV163302085N0904X
KY205352085N0904X
VA01012376432085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B41788Medicare UPIN