# DEBRA M. KROLL, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Debra M. Kroll MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336406933
- **Authorized official:** DR. DEBRA M. KROLL M.D. (CEO/PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (212) 585-4302

## Contact information

- **Practice address:** 178 E 71ST ST, NEW YORK, NY 10021-5131
- **Practice address phone:** (212) 585-4302
- **Practice address fax:** (212) 717-7377
- **Mailing address:** 178 E 71ST ST, NEW YORK, NY 10021-5131
- **Mailing address phone:** (212) 585-4302
- **Mailing address fax:** (212) 717-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 237914 | NY | Yes |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 04/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02736285 | — | NY |