Individual
DR. BRUCE S USHKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9667 CRYSTAL BEACH RD, HAMMONDSPORT, NY 14840-9341
(607) 284-4075
(607) 284-4075
Mailing address
9667 CRYSTAL BEACH RD, HAMMONDSPORT, NY 14840-9341
(607) 284-4075
(607) 284-4075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
191365-1
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
U3042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01495909
—
NY
Enumeration date
09/27/2005
Last updated
03/27/2023
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