Individual
CHARLES BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 MARCUS AVE STE S265, NEW HYDE PARK, NY 11042-1035
(516) 686-0500
Mailing address
2001 MARCUS AVE STE S265, NEW HYDE PARK, NY 11042-1035
(516) 686-0500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
121367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00230431
MC RR
NY
Enumeration date
08/09/2005
Last updated
03/01/2021
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