Individual
MISS DANA MARIE BRUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRACTICAL NURSE
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 924-1000
(631) 924-4298
Mailing address
PO BOX 12, MIDDLE ISLAND, NY 11953-0012
(631) 924-1000
(631) 924-4298
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280165-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02755975
—
NY
Enumeration date
04/14/2008
Last updated
04/14/2008
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