Steven G Kratoville, DC
Individual provider Active NPI Chiropractor · Medina, NY
NPI 1295833283 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295833283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X006401-1 (NY)
- Practice address
- 1406 S Main St
Medina, NY 14103-1822 - Phone
- (585) 798-0328
- Fax
- (585) 798-0342
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X006401-1 | NY | Yes |
Addresses
Primary practice location
1406 S Main St
Medina, NY 14103-1822
Mailing address
1406 S Main St
Medina, NY 14103-1822
Phone (585) 798-0328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000225548001 | Other | NY | BC/BS OF WNY |
| C06401-6 | Other | NY | WORKERS COMP |
| 106040AN | Other | NY | PREFERRED CARE |
| 161565796 | Other | NY | PRISM NETWORKS |
| 350054612 | Other | GA | MEDICARE RR RET BOARD |
| 8810832 | Other | NY | INDEPENDENT HEALTH |
| 7229214 | Other | NY | AETNA |
| P010006401 | Other | NY | BC/BS OF ROCHESTER |
Other providers in Medina, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.