Individual
ROLFE H KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
76 PHEASANT LN, CHEEKTOWAGA, NY 14227-3712
(716) 668-1829
Mailing address
76 PHEASANT LN, CHEEKTOWAGA, NY 14227-3712
(716) 668-1829
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
03984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637614
—
NY
Enumeration date
11/27/2007
Last updated
11/27/2007
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