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Individual

PAUL D BRUSCHINI

Active
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Individual

PAUL D BRUSCHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016286
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00011283007
UNIVERA
NY
01
000625563005
BCBS
NY
01
050301000048
FIDELIS
NY
01
11514590
CAQH
NY
01
159881FT
PREFERRED CARE
NY
01
9390241
IHA
NY
01
P00343647
MEDICARE RAILROAD
NY
Enumeration date
09/07/2006
Last updated
07/08/2007
About Stedi
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