Robert L Bruckstein MD PC

NPI #1194002733 in Lawrence, New York

Provider Information

NPI Number: 1194002733
Entity Type: Organization
Organization Name: Robert L Bruckstein MD PC
Primary Specialty: Dermatology
Enumeration Date: Nov 10, 2011
Last Updated: Nov 10, 2011

Practice Location

Address: 290 CENTRAL AVE
Address 2: SUITE 206
City: Lawrence
State: New York
ZIP Code: 11559-8507
Phone: (516) 239-2332

Authorized Official

Name: DR. ROBERT L BRUCKSTEIN, MD
Title: PRESIDENT
Phone: (516) 239-2332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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