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General NPI Number Information
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NPI Number | 1366430217
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Entity Type | Individual
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Provider Name | RICHARD KRUGLEY MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 755 HEMPSTEAD TPKE
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City | UNIONDALE
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State | NY
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Zip | 11553-1111
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Country | US
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Telephone | 631-608-5620
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Fax | 631-396-0382
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Provider Business Mailing Address
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Address Line | 165 LEFFERTS RD
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City | WOODMERE
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State | NY
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Zip | 11598-1347
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Country | US
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Telephone | 914-949-1199
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Fax | 914-949-1245
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 132755-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 132755-1
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License Number State | NY
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