Individual
LAURA BOWERS KREEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4701 QUEENS BLVD STE 303, SUNNYSIDE, NY 11104-1622
(718) 707-3434
Mailing address
11007 73RD RD APT 5M, FOREST HILLS, NY 11375-6357
(484) 221-0858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717780-1
NY
363LP0200X
Pediatric Nurse Practitioner
382821
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382821
NY
Other
Enumeration date
07/06/2017
Last updated
03/03/2026
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