Individual
DR. BRUCE ROY MAYERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 TERRY ROAD, SUITE A, SMITHTOWN, NY 11787
(631) 265-4485
(631) 265-3620
Mailing address
45 TERRY ROAD, SUITE A, SMITHTOWN, NY 11787
(631) 265-4485
(631) 265-3620
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
210222
NY
Other
Enumeration date
09/11/2006
Last updated
05/28/2014
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