Individual
ADRIAN S KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7100
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-1820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
08/22/2022
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