Basic Information
Provider Information
NPI: 1043257108
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KROOP
FirstName: STEVEN
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 244 WESTCHESTER AVE
Address2: STE 103
City: WHITE PLAINS
State: NY
PostalCode: 10604
CountryCode: US
TelephoneNumber: 9148722502
FaxNumber: 9148722470
Practice Location
Address1: 701 NO BROADWAY
Address2:  
City: SLEEPY HOLLOW
State: NY
PostalCode: 10591
CountryCode: US
TelephoneNumber: 9143663450
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/31/2006
LastUpdateDate: 02/10/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X135421NYY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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