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MR. BRUCE MATTHEW HORMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
32 CEDAR AVENUE EXTENSION, ISLIP, NY 11751
(631) 277-6316
Mailing address
32 CEDAR AVENUE EXTENSION, ISLIP, NY 11751
(631) 277-6316

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004497-1
NY
363AM0700X
Medical Physician Assistant
004497-1
NY
363AS0400X
Surgical Physician Assistant
004497-1
NY

Other

Enumeration date
07/26/2006
Last updated
09/11/2025
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