Individual
BRUCE PAUL EMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER, EAST MEADOW, NY 11554-1859
(516) 572-6633
Mailing address
831 MONTGOMERY ST, BROOKLYN, NY 11213-5280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000049
LICENSE NUMBER
NY
Enumeration date
11/13/2006
Last updated
07/08/2007
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