Individual
DR. JONATHAN NICHOLAS KRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8305 GRAND AVE, ELMHURST, NY 11373-4104
(718) 429-0300
(718) 899-6338
Mailing address
8305 GRAND AVE, ELMHURST, NY 11373-4104
(718) 429-0300
(718) 899-6338
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
260221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03571744
—
NY
Enumeration date
01/19/2011
Last updated
10/07/2013
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