Individual
MERRIL EVE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 LOVELL AVE, STATEN ISLAND, NY 10314-4969
(718) 761-0611
Mailing address
70 LOVELL AVE, STATEN ISLAND, NY 10314-4969
(718) 761-0611
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/24/2015
Last updated
07/21/2022
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