Individual
SUSAN CECELIA KRUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
60 ACADEMY RD, ALBANY, NY 12208-3103
(518) 426-2725
Mailing address
2452 ROUTE 9, SUITE 206, MALTA, NY 12020
(518) 426-2801
(518) 514-1383
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
854834
NY
163WG0000X
General Practice Registered Nurse
Primary
854834
NY
164W00000X
Licensed Practical Nurse
238140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023762499
—
NY
01
—
854834
NYSED
NY
Enumeration date
02/04/2022
Last updated
09/25/2024
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