Organization
INNOVATIVE PSYCHIATRICARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A KRUGLEY MD (OWNER)
(516) 569-1027
Entity
Organization
Contact information
Practice address
165 LEFFERTS RD, WOODMERE, NY 11598-1347
(516) 569-1027
Mailing address
165 LEFFERTS RD, WOODMERE, NY 11598-1347
(516) 569-1027
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
132755
NY
Other
Enumeration date
08/30/2011
Last updated
08/04/2017
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