Individual
CARMINE MICHAEL BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
217 ROSE AVE, STATEN ISLAND, NY 10306-2918
(718) 351-0901
(718) 351-0927
Mailing address
217 ROSE AVE, STATEN ISLAND, NY 10306-2918
(718) 351-0901
(718) 351-0927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006823-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5800695
GHI
NY
Enumeration date
08/14/2008
Last updated
02/11/2009
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