# LUZATO MEDICAL GROUP P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** College Point Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164576385
- **Authorized official:** DR. JACK BRUDER M.D. (PRESIDENT)
- **Authorized official phone:** (718) 461-9105

## Contact information

- **Practice address:** 1812 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2221
- **Practice address phone:** (718) 461-9105
- **Practice address fax:** (716) 461-3392
- **Mailing address:** 1812 COLLEGE POINT BLVD, COLLEGE POINT, NY 11356-2221
- **Mailing address phone:** (718) 461-9105
- **Mailing address fax:** (716) 461-3392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 09/11/2025