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NPI Code Detail

MEDICARE: WILLIAM P. KRUGER M.D.

MEDICARE: WILLIAM P. KRUGER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician180819NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528169687
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM P. KRUGER M.D.
Provider Business Mailing Address
First Line : 250 PATCHOGUE YAPHANK RD
Second Line : SUITE 3
City : EAST PATCHOGUE
State : NY
Zip : 11772-4800
Country : US
Telephone Number : 631-475-7680
Fax Number : 631-475-7683
Provider Business Practice Location Address
First Line : 101 HOSPITAL RD
Second Line :
City : EAST PATCHOGUE
State : NY
Zip : 11772-4870
Country : US
Telephone Number : 631-475-7680
Fax Number : 631-475-7683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 12/01/2025

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