Kruger, Stephen Robert

Kruger, Stephen Robert is an individual health care provider with primary practice located at 20944 35Th Ave , Bayside NY 11361-1452. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kruger, Stephen Robert can be contacted via phone (718) 279-9190.

Contact Information

Primary practice address
20944 35Th Ave Bayside NY 11361-1452
Phone: (718) 279-9190
Fax: (718) 631-7991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 037648-1 New York

Profile Details

NPI number 1952359382
LBN Legal business name Kruger, Stephen Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952359382 NPPES
New York MEDICAID 02062251

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