Individual
MR. BRUCE MICHAEL SHEINBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
12 DELAWARE AVE, COMMACK, NY 11725-5014
(631) 261-4400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330075-1
NY
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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