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Individual

DR. STUART KRIEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003109
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00388087
NY
01
0078408
GHI
NY
01
4413816
AETNA
NY
01
C93021
BLUE CROSS BLUE SHIELD
NY
01
P2121183
OXFORD
NY
Enumeration date
11/19/2005
Last updated
06/01/2011
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