Individual
DR. BRUCE ANDREW MASLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ST MARYS HOSPITAL BEHAVIORAL HEALTH, 427 GUY PARK AVENUE, AMSTERDAM, NY 12010
(518) 841-7320
(518) 842-0036
Mailing address
ST MARYS HOSPITAL BEHAVIORAL HEALTH, 427 GUY PARK AVENUE, AMSTERDAM, NY 12010
(518) 841-7320
(518) 842-0036
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
205722-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01885432
—
NY
Enumeration date
12/04/2006
Last updated
07/08/2007
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