Individual
ELISSA BRUZGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 SCHOENFELD BLVD, PATCHOGUE, NY 11772-2961
(631) 433-8354
Mailing address
208 SCHOENFELD BLVD, PATCHOGUE, NY 11772-2961
(631) 433-8354
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
702133
NY
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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