Individual provider · Type 1 NPI

Laura Grace Krukowski, PA-C

Surgical Physician Assistant · Roslyn, NY

NPI number 1871127027 Active

Practice location

100 Port Washington Blvd
Roslyn, NY 11576

Call (516) 562-6000 Map

Mailing address

80 North Maple Street
Massapequa, NY 11758

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X024746 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1871127027

Laura Grace Krukowski, PA-C's National Provider Identifier is 1871127027, issued on Feb 26, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roslyn, NY. The record was last updated on Feb 26, 2020.