Provider Demographics
NPI:1205815453
Name:KRUGER, CHRISTOPHER JOHN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:KRUGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:2507 SOUTH RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5458
Practice Address - Country:US
Practice Address - Phone:845-231-5600
Practice Address - Fax:845-432-3950
Is Sole Proprietor?:No
Enumeration Date:2006-01-14
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171627207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01341928Medicaid
NY46Z011Medicare PIN
NYA400010945Medicare PIN
NY180039333Medicare PIN
NY01341928Medicaid
NY46Z011OtherEMPIRE BLUE CROSS
NYDUS057OtherOXFORD ID #
NY9668573OtherCIGNA ID NUMBER
NY177128OtherM.V.P ID. NUMBER
NY1973903OtherUNITED HEALTH CARE
NY3C1697OtherPHS HEALTH NET ID #
NY52097OtherGHI HMO ID.#
NY171627OtherNYS LICENSE NUMBER
NY2336172OtherAETNA ID NUMBER
NY01341928Medicaid
NY46Z011Medicare PIN