Individual
CASEY J KRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-5600
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
023308
NY
363A00000X
Physician Assistant
Primary
023308
NY
Other
Enumeration date
02/25/2019
Last updated
03/15/2026
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