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Individual

DR. RICHARD L BRUCKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 NICOLLS RD, LEVEL 4, STONY BROOK, NY 11794-8111
(631) 444-2499
Mailing address
PO BOX 1559, PEDIATRIC EMERGENCY MEDICINE, STONY BROOK, NY 11790-0989
(631) 444-0650

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
240468
NY

Other

Enumeration date
05/12/2008
Last updated
04/26/2015
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