National Provider Identifier
Mary Kruse, PA-C
Mary Kruse, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Westfield, NY and a listed phone number of (716) 326-4678.
Profile Overview
- NPI
- 1942784939
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 17, 2018
- Last Updated
- May 10, 2022
Practice Location
- 138 E Main St
- Westfield, NY 14787-1121
Phone: (716) 326-4678
Mailing Address
- PO Box 10
- Westfield, NY 14787-0010
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1942784939
- Entity Type
- Individual
- Last Name
- Kruse
- First Name
- Mary
- Credential
- PA-C
- Mailing Street Address
- PO Box 10
- Mailing City
- Westfield
- Mailing State
- NY
- Mailing ZIP Code
- 14787-0010
- Mailing Country
- US
- Mailing Phone
- (716) 326-4678
- Mailing Fax
- (716) 326-4641
- Practice Street Address
- 138 E Main St
- Practice City
- Westfield
- Practice State
- NY
- Practice ZIP Code
- 14787-1121
- Practice Country
- US
- Practice Phone
- (716) 326-4678
- Practice Fax
- (716) 326-4641
- Enumeration Date
- September 17, 2018
- Last Updated
- May 10, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 10, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)