Individual
EDWARD BRUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 BROADWAY, MASSAPEQUA, NY 11758-2391
(516) 798-0111
(516) 798-0152
Mailing address
1728 SUNRISE HWY, MERRICK, NY 11566-3745
(516) 992-4700
(516) 992-4722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/19/2009
Last updated
08/24/2011
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