National Provider Identifier

Valeri Kraskovsky, MD

Valeri Kraskovsky, MD is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician in Buffalo, NY and a listed phone number of (716) 898-4578.

NPI 1396155529Buffalo, NYPulmonary Disease Physician

Profile Overview

NPI
1396155529
Provider Type
Individual
Primary Specialty
Pulmonary Disease Physician
Enumeration Date
April 28, 2014
Last Updated
June 21, 2021

Practice Location

  • 462 Grider Street
  • Buffalo, NY 14215

Phone: (716) 898-4578

Mailing Address

  • 565 Abbott RD
  • Buffalo, NY 14220-2039

Specialties

  • Pulmonary Disease Physician (207RP1001X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1396155529
Entity Type
Individual
Last Name
Kraskovsky
First Name
Valeri
Credential
MD
Mailing Street Address
565 Abbott RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-2039
Mailing Country
US
Practice Street Address
462 Grider Street
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215
Practice Country
US
Practice Phone
(716) 898-4578
Enumeration Date
April 28, 2014
Last Updated
June 21, 2021
Deactivation Date
December 01, 2014
Reactivation Date
March 24, 2015
Sex
Male
Sole Proprietor
No
Certification Date
June 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pulmonary Disease Physician (207RP1001X), Student in an Organized Health Care Education/Training Program (390200000X)