Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Kruger

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912640087

Jonathan Kruger is a Student in an Organized Health Care Education/Training Program in Bayside, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

20938 35th Ave
Bayside, NY 11361-1452
Phone: (347) 804-7696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1912640087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2022
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address20938 35th Ave, Bayside, NY 11361-1452

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