Individual
DR. DENNIS M. BRUSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9876 QUEENS BLVD STE 1K, REGO PARK, NY 11374-4333
(718) 459-8900
Mailing address
5 COUNTRY PL, GREAT NECK, NY 11021-1018
(917) 690-5043
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
121070
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01838568
—
NY
Enumeration date
06/09/2006
Last updated
02/16/2020
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