Individual
DR. STACEY JILL KRUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 NORTH BOULEVARD, SUITE 220, GREAT NECK, NY 11021
(516) 470-2020
(516) 470-2000
Mailing address
600 NORTH BOULEVARD, SUITE 220, GREAT NECK, NY 11021
(516) 470-2020
(516) 470-2000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
211514
NY
207W00000X
Ophthalmology Physician
ME85180
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
211514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042834
NEIGHBORHOOD HEALTH
FL
01
—
043826038
HUMANA
FL
01
—
11135
DIMENSION HEALTH PLAN
FL
01
—
2003619
CIGNA
FL
01
—
2108536
FIRST HEALTH
FL
01
—
2352758
UNITED HEALTHCARE
FL
05
—
265186600
—
FL
01
—
2891680
AETNA HMO
FL
01
—
29061
BCBS
FL
01
—
7467368
AETNA
FL
Enumeration date
12/11/2006
Last updated
08/29/2024
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