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Individual
BRIAN CRUICKSHANK
Active
Individual
BRIAN CRUICKSHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
60 271708
NY
225100000X
Physical Therapist
023719-1
NY
Other
Enumeration date
10/06/2008
Last updated
08/14/2013
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