Victor Graham Bruce P.A.

NPI 1720094386 - Physician Assistant - 363A00000X

NPI Details
NPI 1720094386
Gender Male
Enumeration Date 08/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1401 UNION ST
SCHENECTADY NY, 12308-3009, US
Phone (518) 381-9202
Fax (518) 381-1182
Business Location
1369 LEXINGTON AVE
SCHENECTADY NY, 12309-5607, US
Phone (518) 377-2491
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 001235-1
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According to our database, Mr. Victor Graham Bruce P.A. NPI is 1720094386, taxonomy code is 363A00000X and license number is 001235-1, license state is located at New York. Victor Graham Bruce P.A. physically located at 1401 Union St, Schenectady NY, 12308-3009. NPI Number Victor Graham Bruce P.A. has the Individual type.

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1720094386 NPI number is provided on an as is basis without warranty of any kind. 1720094386 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Graham Bruce P.A. are for informational purposes only.