Individual
DR. JASON CHRISTOPHER KRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
127 W 96TH ST, SUITE 1B, NEW YORK, NY 10025-6427
(917) 306-9934
Mailing address
34 STERLING PL, APT 1, BROOKLYN, NY 11217-3204
(917) 306-9934
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019475
NY
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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