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Organization
LUZATO MEDICAL GROUP P.C.
Active
Organization
LUZATO MEDICAL GROUP P.C.
Active
Other names
College Point Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BRUDER M.D. (PRESIDENT)
(718) 461-9105
Entity
Organization
Contact information
Practice address
1812 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2221
(718) 461-9105
(716) 461-3392
Mailing address
1812 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2221
(718) 461-9105
(716) 461-3392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
01/23/2007
Last updated
09/11/2025
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