Individual
MR. BRUCE J FOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ORTHOTIST
Contact information
Practice address
510 OLD COUNTRY RD, PLAINVIEW, NY 11803-4904
(516) 495-7777
Mailing address
510 OLD COUNTRY RD, PLAINVIEW, NY 11803-4904
(516) 495-7777
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CO1972
NY
Other
Enumeration date
02/06/2010
Last updated
02/06/2010
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