Organization
LUZATO MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BRUDER M.D. (PRESIDENT)
(212) 691-3066
Entity
Organization
Contact information
Practice address
50 E 42ND ST RM 508, NEW YORK, NY 10017-5436
(212) 661-7003
(212) 661-7005
Mailing address
50 E 42ND ST RM 508, NEW YORK, NY 10017-5436
(212) 661-7003
(212) 661-7005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/18/2008
Last updated
04/03/2024
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