Provider Demographics
NPI:1740250232
Name:KREBS, KAY D (AUD)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:D
Last Name:KREBS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2724 WALKER ST
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-5024
Mailing Address - Country:US
Mailing Address - Phone:516-781-8154
Mailing Address - Fax:516-679-0246
Practice Address - Street 1:2724 WALKER ST
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-5024
Practice Address - Country:US
Practice Address - Phone:516-781-8154
Practice Address - Fax:516-679-0246
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY455231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR45267Medicare UPIN
NYM00701Medicare ID - Type Unspecified