Individual
DR. BRUCE WILLIAM SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
59 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2502
(631) 732-1615
(631) 732-1612
Mailing address
59 MIDDLE COUNTRY RD, MIDDLE ISLAND, NY 11953-2502
(631) 732-1615
(631) 732-1612
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005240
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C052409
W COMP
NY
Enumeration date
10/04/2005
Last updated
12/06/2011
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