Individual
CHRISTOPHER MICHAEL BRUSALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 EARLE OVINGTON BLVD STE 101, UNIONDALE, NY 11553-3645
(516) 743-3036
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(516) 743-3036
(516) 743-3576
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036.159907
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
01/05/2024
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