INNOVATIVE PSYCHIATRICARE PC
Psychiatric at Lefferts Rd, Woodsburgh, NY

License number
New York 132755
Category
Psychiatric
Type
Psychiatry
Owner
Name: RICHARD A KRUGLEY MD
Title: OWNER
Phone: (516) 569-1027
Address
Address
165 Lefferts Rd, Woodsburgh, NY 11598
National Provider ID: 1730460171
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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INNOVATIVE PSYCHIATRICARE, PC

165 Lefferts Rd, Woodmere, NY 11598

Industry:
Nonclassifiable Establishments
Registration:
Aug 15, 2011
State ID:
4130782
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Owner, Principals:
Richard Krugley Md, 165 Lefferts Rd, Woodmere, NY 11598 (Physical),Richard Krugley (Owner, Principal)
Agent:
Richard A. Krugley, M.d,165 Lefferts Rd, Woodmere, NY 11598 (Physical)

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