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Contact Information

STACEY J KRUGER, MD
600 NORTH BOULEVARD
SUITE 220
GREAT NECK, NY11021
 Phone: 516-470-2020
 Fax: 516-470-2000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for STACEY J KRUGER · (Female)

NPI Number 1649330671
Status Active
Credentials MD
Entity Individual
Enumeration date 12/11/2006
Last updated 08/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME85180
  • NY License # 211514
  • FL Medicaid 265186600
  • FL Other 7467368 AETNA
  • FL Other 2891680 AETNA HMO
  • FL Other 29061 BCBS
  • FL Other 29061 BCBS HEALTH OPTIONS/EYE MANAGEMENT
  • FL Other 2003619 CIGNA
  • FL Other 11135 DIMENSION HEALTH PLAN
  • FL Other 2108536 FIRST HEALTH
  • FL Other 043826038 HUMANA
  • FL Other 042834 NEIGHBORHOOD HEALTH
  • FL Other 043826038 PHCS
  • FL Other 2352758 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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