Individual
DR. NEIL BRUCE ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13 N FULTON ST, AUBURN, NY 13021-2703
(315) 255-1171
(315) 252-7801
Mailing address
13 N FULTON ST, AUBURN, NY 13021-2703
(315) 255-1171
(315) 252-7801
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
111899-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01848273
—
NY
Enumeration date
06/05/2006
Last updated
07/08/2007
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