Individual
MARIA DOLORES BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3723 SENECA ST, WEST SENECA, NY 14224
(716) 675-5000
(716) 674-8756
Mailing address
3723 SENECA ST, WEST SENECA, NY 14224
(716) 675-5000
(716) 674-8756
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
204381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020518101
UNIVERA
—
01
—
005256532
BCBS OF WNY
—
01
—
0810673
IHA
—
01
—
180043359
RR MEDICARE
—
Enumeration date
06/07/2006
Last updated
04/09/2015
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