Individual
CHRISTIE C BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 FLETCHER AVE, VALLEY STREAM, NY 11580-4047
(516) 668-4312
Mailing address
142 FLETCHER AVE, VALLEY STREAM, NY 11580-4047
(516) 668-4312
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328528
NY
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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