Individual
MS. ELIZABETH BRUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASCLS/AAAHP/RPT/NPT
Contact information
Practice address
2 ELTING CT FL 3, ELLENVILLE, NY 12428-1330
(845) 853-0676
(845) 232-2207
Mailing address
2 ELTING CT 3RD FL GOV'T BLDG., ELLENVILLE, NY 12428-1330
(845) 853-0676
(845) 232-2207
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
—
—
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
NY
291U00000X
Clinical Medical Laboratory
Primary
132413
NY
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2016
Last updated
10/27/2022
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