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Individual

RICHARD KROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 MEDICAL PARK DR, WEST NYACK, NY 10994-1965
(845) 354-5000
(854) 354-9469
Mailing address
20 GRAND STREET, 3RD FL, WARWICK, NY 10990-1035
(845) 777-3569
(845) 987-5979

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1135Z9
NY
208800000X
Urology Physician
58636
AZ
208800000X
Urology Physician
CDRH.0055297
CO

Other

Enumeration date
12/05/2005
Last updated
12/09/2022
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