Individual
BRUCE GINGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MADISON AVE, SUITE 705, NEW YORK, NY 10022-5403
(212) 675-2997
(212) 627-8389
Mailing address
515 MADISON AVE, SUITE 705, NEW YORK, NY 10022-5403
(212) 675-2997
(212) 627-8389
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
108900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00192796
—
NY
Enumeration date
01/17/2006
Last updated
09/06/2013
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