Organization
LUZATO MEDICAL GROUP, P.C.
Active
Other names
Jack Bruder, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BRUDER M.D. (PRESIDENT)
(212) 691-3066
Entity
Organization
Contact information
Practice address
36 7TH AVE, SUITE 407, NEW YORK, NY 10011-6609
(212) 691-3066
(212) 691-3126
Mailing address
36 7TH AVE, SUITE 407, NEW YORK, NY 10011-6609
(212) 691-3066
(212) 691-3126
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
03/28/2007
Last updated
09/11/2025
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