# VISION NYC JONATHAN KRUH MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245602143
- **Authorized official:** MS. ROSEMARY KRUH (OFFICE MANAGER)
- **Authorized official phone:** (646) 799-3648

## Contact information

- **Practice address:** 25 5TH AVE, SUITE 1B, NEW YORK, NY 10003-4307
- **Practice address phone:** (646) 799-3648
- **Practice address fax:** (212) 225-8416
- **Mailing address:** 24039 66TH AVE, DOUGLASTON, NY 11362-1924
- **Mailing address phone:** (646) 799-3648
- **Mailing address fax:** (212) 225-8416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 260221 | NY | Yes |

## Other

- **Enumeration date:** 10/30/2015
- **Last updated:** 10/30/2015
