Individual
DR. LARISA M BRUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1207 ROUTE 9, SUITE 11, WAPPINGERS FALLS, NY 12590
(845) 297-3200
(845) 297-7891
Mailing address
1207 ROUTE 9, SUITE 11, WAPPINGERS FALLS, NY 12590
(845) 297-3200
(845) 297-7891
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
46131
WI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LB082656
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N85680
MEDICARE GROUP
MI
05
—
1720019771
—
MI
01
—
700E310160
BCBS
MI
Enumeration date
07/06/2006
Last updated
07/09/2013
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