Robert L Bruckstein Md Pc

NPI 1194002733 - Dermatology - 207N00000X

NPI Details
NPI 1194002733
Enumeration Date 11/10/2011
Last Updated 11/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ROBERT L ROBERT
Position PRESIDENT
Phone (516) 239-2332
Fax
Practice Location
290 CENTRAL AVE
SUITE 206
LAWRENCE NY, 11559-8507, US
Phone (516) 239-2332
Fax
Business Location
290 CENTRAL AVE
SUITE 206
LAWRENCE NY, 11559-8507, US
Phone (516) 239-2332
Fax
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 117212-1
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According to our database, Robert L Bruckstein Md Pc NPI is 1194002733, taxonomy code is 207N00000X and license number is 117212-1, license state is located at New York. Robert L Bruckstein Md Pc physically located at 290 Central Ave, Lawrence NY, 11559-8507. NPI Number 1033115704 has the healthcare provider type.

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1194002733 NPI number is provided on an as is basis without warranty of any kind. 1194002733 is maintained by the National Plan & Provider Enumeration System. The contents of Robert L Bruckstein Md Pc are for informational purposes only.