| Doctor Name: | MRS. ELIZABETH JANE KRUKOWSKI |
| NPI Number: | 1356624720 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 004426-1 |
| Business Practice Address: | 221 Chenango Bridge Rd Binghamton, NY - 139011293 |
| Business Phone Number: | 6077626831 |
| Business Fax Number: | 6077626895 |
| Mailing Address: | 218 John St, BINGHAMTON |
| State: | NY |
| Postal Code: | 139051300 |
| Phone Number: | 6077240051 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2011 |
| NPI Last Update Date: | 09/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 004426-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |