Individual
BRUCE J MCLAUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 MONTAUK HWY, WEST ISLIP, NY 11795-4910
(631) 422-4450
(631) 422-4451
Mailing address
1111 MONTAUK HWY, WEST ISLIP, NY 11795-4910
(631) 422-4450
(631) 422-4451
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00713364
—
NY
Enumeration date
07/02/2005
Last updated
04/30/2008
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