Individual
MR. BRUCE A GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7108 PARK AVE, FRESH MEADOWS, NY 11365
(718) 820-0120
(718) 820-9239
Mailing address
7108 PARK AVE, FRESH MEADOWS, NY 11365
(718) 820-0120
(718) 820-9239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
166451
NY
207RN0300X
Nephrology Physician
Primary
166451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0044176
GHI
—
05
—
01121508
—
NY
01
—
0457702
CIGNA
—
01
—
160007
ELDER PLAN
—
01
—
166451C48
HEALTH FIRST
—
01
—
205379P
HIP
—
01
—
23E341
EMPIRE
—
01
—
25246
US HEALTHCARE
—
01
—
4C0575
HEALTHNET
—
01
—
DP133
OXFORD
—
Enumeration date
09/28/2006
Last updated
09/11/2025
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