Individual
DR. RICHARD BOHN KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 EAST 68TH STREET, SUITE 1H, NEW YORK, NY 10021-6024
(212) 517-6624
(212) 517-4073
Mailing address
210 EAST 68TH STREET, SUITE 1H, NEW YORK, NY 10021-6024
(212) 517-6624
(212) 517-4073
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
177371
NY
2084P0800X
Psychiatry Physician
177371
NY
2084P0802X
Addiction Psychiatry Physician
Primary
177371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177371
NEW YORK STATE LISCENCE #
NY
01
—
MA 53098
NEW JERSEY LISCENCE NUMBE
NJ
Enumeration date
10/16/2006
Last updated
09/11/2025
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