Individual
DR. JUSTIN DANIEL KRAUSHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
45 ROUTE 25A STE F, SHOREHAM, NY 11786-1389
(631) 821-2244
Mailing address
30 HURTIN ST, PORT JEFFERSON STATION, NY 11776-4006
(516) 658-5075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007887-1
NY
Other
Enumeration date
07/12/2012
Last updated
10/31/2012
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