Individual ProviderTobias Alois KrussigEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address101 Nicolls Rd Rm 50, Stony Brook, NY 11794-0001(631) 444-3880PECOS EnrollmentBased on the most recent information from CMS, provider Tobias Alois Krussig does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1417606757Provider TypeIndividualFull NameKrussig, Tobias AloisTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date3/23/2022Last Updated7/18/2025Contact InformationPractice LocationPractice Address101 Nicolls Rd Rm 50, Stony Brook, NY 11794-0001Phone(631) 444-3880FaxUnlisted FaxMailing LocationMailing Address101 Nicolls Rd Rm 50, Stony Brook, NY 11794-0001Phone(631) 444-3880FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseC1-0028174Delaware