Provider Demographics
NPI:1427294099
Name:KRILL, AARON JUSTIN (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:JUSTIN
Last Name:KRILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1999 MARCUS AVE STE M18
Mailing Address - Street 2:DEPARTMENT OF PEDIATRIC UROLOGY
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1023
Mailing Address - Country:US
Mailing Address - Phone:516-466-6953
Mailing Address - Fax:516-466-5608
Practice Address - Street 1:1999 MARCUS AVE STE M18
Practice Address - Street 2:DEPARTMENT OF PEDIATRIC UROLOGY
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1023
Practice Address - Country:US
Practice Address - Phone:516-466-6953
Practice Address - Fax:516-466-5608
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-01
Last Update Date:2011-05-19
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Provider Licenses
StateLicense IDTaxonomies
DCMD037609208800000X
NY2595682088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No208800000XAllopathic & Osteopathic PhysiciansUrology