Individual
MRS. DANA ANNE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
469 HAROLD AVE, STATEN ISLAND, NY 10312-6344
(718) 227-9903
Mailing address
469 HAROLD AVE, STATEN ISLAND, NY 10312-6344
(718) 227-9903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/17/2012
Last updated
06/17/2012
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