Individual
COREY M KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2 COMPUTER DR W, SUITE 200, ALBANY, NY 12205-1622
(518) 489-2524
(518) 489-3167
Mailing address
2 COMPUTER DR W, SUITE 200, ALBANY, NY 12205-1622
(518) 489-2524
(518) 489-3167
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
027088
NY
225100000X
Physical Therapist
027088-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02651201
—
NY
01
—
P00217544
RAILROAD MEDICARE
NY
01
—
P00217544
MEDICARE RAILROAD
—
Enumeration date
11/15/2005
Last updated
06/02/2022
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