| Doctor Name: | DR. MIRAL KRUH |
| NPI Number: | 1023480605 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 018656 |
| Business Practice Address: | 272 N Bedford Rd Mount Kisco, NY - 105491166 |
| Business Phone Number: | 9142619968 |
| Business Fax Number: | |
| Mailing Address: | 272 N Bedford Rd, MOUNT KISCO |
| State: | NY |
| Postal Code: | 105491166 |
| Phone Number: | 9142619968 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2015 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 018656 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |