Provider Demographics
NPI:1104534882
Name:KREINHEDER, ZACHERIAH
Entity type:Individual
Prefix:MR
First Name:ZACHERIAH
Middle Name:
Last Name:KREINHEDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 IROQUOIS AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1706
Mailing Address - Country:US
Mailing Address - Phone:716-400-3560
Mailing Address - Fax:
Practice Address - Street 1:14 IROQUOIS AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-1706
Practice Address - Country:US
Practice Address - Phone:716-400-3560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist