Individual
NATASHA JUANITA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 N MAIN ST, ELLENVILLE, NY 12428-1009
(845) 281-2589
Mailing address
P.O. BOX 443, ELLENVILLE, NY 12428
(845) 281-2589
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
NY
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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