Individual
DR. GARY BRUSCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
10 GRACE AVE, SUITE 12 D, GREAT NECK, NY 11021-2423
(515) 773-3607
Mailing address
382 CENTRAL PARK W, APT. 11 L, NEW YORK, NY 10025-6054
(212) 769-0977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007179
NY
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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