TIMOTHY ROBERT KREIDER

GLEN OAKS, NY
NPI1801186861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NY  275230-1)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  MT198793)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT198793)
Enumeration Date2011-04-12
Last Update Date2016-11-16
Business Address
-- TIMOTHY ROBERT KREIDER M.D.
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 718-470-8303
Mailing Address
-- TIMOTHY ROBERT KREIDER M.D.
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 718-470-8303