Provider Information for 1043782097
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Mr. LOUIS E KRIGGER License Mental Healt
Sex: Male
NPI: 1043782097
Last Updated: 2020-05-21
Certification Date: 2020-05-21
Certification Date: 2020-05-21
Details
| Name | Value | ||||||||
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| NPI | 1043782097 | ||||||||
| Enumeration Date | 2018-12-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 106-38 150TH ST JAMAICA, NY 11435 United States Phone: 718-291-4600 | Fax:718-291-6400 | ||||||||
| Primary Practice Address | RESTFULL NIGHTS CORPORATION 106-38 150TH ST JAMAICA, NY 11435 United States Phone: 718-291-4600 | Fax:718-291-6400 | ||||||||
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