Individual
ELLA KRUGOLETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554
(516) 572-6646
(516) 572-9477
Mailing address
750 LIDO BLVD APT 81B, LIDO BEACH, NY 11561-5243
(646) 420-1292
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006682
NY
Other
Enumeration date
02/11/2014
Last updated
07/23/2019
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