MRS. Deann M Kruse

NPI #1205199361 in Ronkonkoma, New York

Provider Information

NPI Number: 1205199361
Entity Type: Individual
Name: MRS. Deann M Kruse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 22, 2012
Last Updated: Jun 22, 2012

Practice Location

Address: 90 AIR PARK DR
City: Ronkonkoma
State: New York
ZIP Code: 11779-7360
Phone: (631) 580-4001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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