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Organization
DEBRA M. KROLL, MD, LLC
Active
Organization
DEBRA M. KROLL, MD, LLC
Active
Other names
Debra M. Kroll MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA M. KROLL M.D. (CEO/PRESIDENT/PHYSICIAN)
(212) 585-4302
Entity
Organization
Contact information
Practice address
178 E 71ST ST, NEW YORK, NY 10021-5131
(212) 585-4302
(212) 717-7377
Mailing address
178 E 71ST ST, NEW YORK, NY 10021-5131
(212) 585-4302
(212) 717-7377
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
237914
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02736285
—
NY
Enumeration date
04/19/2012
Last updated
04/19/2012
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