Organization
VISION NYC JONATHAN KRUH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEMARY KRUH (OFFICE MANAGER)
(646) 799-3648
Entity
Organization
Contact information
Practice address
25 5TH AVE, SUITE 1B, NEW YORK, NY 10003-4307
(646) 799-3648
(212) 225-8416
Mailing address
24039 66TH AVE, DOUGLASTON, NY 11362-1924
(646) 799-3648
(212) 225-8416
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
260221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03571744
—
NY
Enumeration date
10/30/2015
Last updated
10/30/2015
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