Organization
CHARLES BRUNO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BRUNO (PHYSICIAN)
(516) 354-3322
Entity
Organization
Contact information
Practice address
1300 UNION TPKE, SUITE 204, NEW HYDE PARK, NY 11040-1759
(516) 354-3322
(516) 354-3553
Mailing address
1300 UNION TPKE, SUITE 204, NEW HYDE PARK, NY 11040-1759
(516) 354-3322
(516) 354-3553
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
121367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00230431
MC RR
NY
Enumeration date
09/27/2007
Last updated
01/30/2008
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