Individual
MARCIA BRUCCULERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SOUTH AVE, GARDEN CITY, NY 11530-4213
(516) 877-4845
Mailing address
7 TORREY PINE LN, BAY SHORE, NY 11706-5864
(631) 277-3257
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001817
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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