Organization
OCCUPATIONAL HEALTH SERVICES RPN NP ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWEN ELIZABETH BRUNO ANP (MANAGER)
(716) 945-2825
Entity
Organization
Contact information
Practice address
187-189 CENTER STREET, SALAMANCA, NY 14779-1454
(716) 945-2825
(716) 945-2827
Mailing address
PO BOX 375, 187-189 CENTER STREET, SALAMANCA, NY 14779-0375
(716) 945-2825
(716) 945-2827
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303946 1
NY
Other
Enumeration date
09/05/2007
Last updated
06/19/2008
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