Organization
DR. BRUCE DORMAN, D.P.M.
Active
Organization
DR. BRUCE DORMAN, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A DORMAN D.P.M. (OWNER)
(718) 454-4333
Entity
Organization
Contact information
Practice address
6134 188TH ST, SUITE 203, FRESH MEADOWS, NY 11365-2726
(718) 454-4333
(718) 454-4823
Mailing address
6134 188TH ST, SUITE 203, FRESH MEADOWS, NY 11365-2726
(718) 454-4333
(718) 454-4823
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NY003551
NY
Other
Enumeration date
12/06/2007
Last updated
01/18/2008
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