Individual
SAMUEL BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-4749
Mailing address
1320 YORK AVE APT 26M, NEW YORK, NY 10021-4868
(201) 788-7948
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
316735
NY
Other
Enumeration date
04/25/2018
Last updated
05/23/2023
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